P. Moustafelos, P. Alepas, I. Bolanis, G. Dimogerontas, I. Niakas, S. Baratsis, D. Manganas,SUMMARY
Purpose: The aim of this study was to elucidate the features,
indications, and surgical treatment in patients affected by
complications of Crohns disease.
Materials and methods: Between January 1986 and August
2002, 72 consecutive patients, (47 male, 25 female: mean
age 37 years), were operated on for 86 occurrences of
Crohns disease. Data were collected retrospectively.
Results: Indications for surgery included: failure of medical
management (n=32), obstruction (n=23), intestinal fistula
(n=11), mass (n=7), abdominal abscess (n=5), peritonitis
(n=1), development of cancer (n=1) and perianal sepsis
(n=4). Perioperative complications occurred in 24 out of
82 abdominal operations (29,2%), and resulted in one death.
Conclusions: Patterns of surgical treatment of Crohns
disease are changing, and more emphasis now being given
in more conservative operations. The presence of extensive
disease with fistulisation significantly increases the number
of perioperative complications and the probability of
postoperative recurrences.
Key words: Crohns disease, Inflammatory bowel disease,
Complications, Obstruction, Fistulas, Colitis, Ileitis,
Strictureplasty, Resectionapplication/pdfhttp://www.annalsgastro.gr/index.php/annalsgastro/article/view/239engHellenic Society of Gastroenterology1792-74631108-7471Annals of Gastroenterology; Volume 16, No 4 (2003)Results of Surgical Treatment of Crohns Diseaseinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion2007-03-19Δημοσίευση σε περιοδικόPublication in journalΓαστροεντερολογίαGastroenterologyisi -Gastroenterology & Hepatology covers resources on the anatomy, physiology, biochemistry, and pathology of the digestive system. This category includes specific resources on the prognosis and treatment of digestive diseases; stomach ulcers; metabolic, genetic, infectious and chemically induced diseases of the liver; colitis; diseases of the pancreas and diseases of the rectum.Επιστημονικό άρθροScientific articleΕλληνική Γαστροεντερολογική ΕταιρίαGreek Aggregator OpenArchives.gr | National Documentation Centre (EKT)other