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Published on: October 29, 2014
Role of surgery in the management of Crohn's disease: a case series
Janaki Krithika Chandramohan1, Thangapprakasam Palaniappan1, Arun Guru Kalyanasundaram1
1Department of General surgery, Velammal Medical College Hospital and Research Institute, Madurai 625009, India.
Abstract:
Inflammatory bowel disease is fast becoming a disease of the East. Of all its entities, Crohn's disease is the most diverse and debilitating due to its nature of transmural granulomatous inflammation. The clinical picture varies according to the disease location and severity. This translates to tailoring the treatment according to individual disease. The management should be predominantly medical since recurrence rates post-surgery are objectionable. But surgery, as a measure to tackle complications under cover of adequate medical and nutritional therapy, can be lifesaving. Herein, we describe a series of seven cases where surgery was crucial in the management of Crohn's disease.
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