Related Experiment Videos
Surgical treatment for Crohn's disease
J A Perdomo1, H Iwagaki, A Hizuta
1First Department of Surgery, Okayama University Medical School, Japan.
Acta Medica Okayama
|April 1, 1995
Summary
This study reviewed surgical outcomes for 16 Crohn's disease patients with obstructive strictures. Most patients underwent resection with single anastomosis, and recurrence rates were low, indicating effective surgical management for Crohn's strictures.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Inflammatory Bowel Disease
Background:
- Crohn's disease often causes obstructive strictures unresponsive to conservative management.
- Surgery is frequently required for symptomatic relief in these cases.
- Understanding surgical outcomes is crucial for patient management.
Purpose of the Study:
- To retrospectively review surgical interventions for obstructive Crohn's strictures.
- To analyze the types of operations performed and their outcomes.
- To assess recurrence rates following surgical treatment.
Main Methods:
- Retrospective review of medical records for 16 consecutive patients with Crohn's disease.
- Patients underwent surgery between 1978 and 1993 for obstructive symptoms.
- Surgical procedures were categorized, and outcomes including recurrence were analyzed.
Main Results:
- Nine patients (56.3%) had small bowel resection; four (25.0%) underwent ileocolonic resection.
- 13 patients (81.3%) had resection with a single anastomosis; strictureplasty was used in only 2 cases (12.5%).
- Crohn's disease recurred in 3 patients (18.8%), with one requiring a second operation.
Conclusions:
- Surgical resection, particularly with single anastomosis, is an effective treatment for obstructive Crohn's strictures.
- Strictureplasty may be an underutilized option.
- Recurrence rates appear manageable with surgical intervention.