[Enterostomy in Crohn disease].
Indications, technique and prognosis of 129 enterostomies in Crohn's disease are reported. Advanced perianal or entero-genital fistulas represented the predominant indication (60% of primary, 46% of repeated stomas). 85% of stomas were created in combination with intestinal resections. Preferred type of stoma was a loopileostomy (76% of primary stomas), whereas colostomies were avoided whenever possible because of increased complications. Patients initially presenting with rectal involvement or perianal fistulas were prone to need a stoma during the course of their disease while intraabdominal fistulas, abscesses, age, sex, and longstanding disease where of no prognostic significance. Up to now 50% of all temporary stomas and a third of those created for distal fistulas could be closed. The chance of closure increased significantly with duration of symptoms less than 7 years, not more than one previous operation or absence of rectal involvement.
Post
S
S
Chirurgische Universitätsklinik Heidelberg.
Schürmann
G
G
Herfarth
C
C
D000328:Adult; D003125:Colostomy; D003424:Crohn Disease / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007081:Ileostomy; D007415:Intestinal Obstruction / Q000601:surgery; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D011349:Proctitis / Q000601:surgery; D012003:Rectal Fistula / Q000601:surgery; D012086:Reoperation; D012307:Risk Factors
Das Enterostoma bei Morbus Crohn.