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2007 (EN)
Results of Surgical Treatment of Crohn’s Disease (EN)

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 Crohn’s 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 Crohn’s 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 Crohn’s 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: Crohn’s disease, Inflammatory bowel disease, Complications, Obstruction, Fistulas, Colitis, Ileitis, Strictureplasty, Resection (EN)




Hellenic Society of Gastroenterology (EN)

Annals of Gastroenterology; Volume 16, No 4 (2003) (EN)

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