One hundred operations for Crohn's disease.
One hundred operations for Crohn's disease have been reviewed. The 100 procedures were performed on 54 patients. Thirty-four patients had had a single operation, and 20 patients had had the other 66 operations. The patients were classified into four categories: small intestinal disease (n = 17), jejuno-ileocolic (n = 7), colonic (n = 5) and classical ileocolic (n = 25). These categories had differing disease severity, symptomatology and re-operation rates. The distribution of the disease in Northern New Zealand seems similar to that elsewhere. Whereas a small number of patients may have a large number of complications and recurrences and a prolonged stay in hospital, the majority of patients can have safe and effective surgery for Crohn's disease. This is particularly true for patients with ileocolic disease and who have a limited ileocolic resection.
University Department of Surgery, Auckland Hospital, New Zealand.
M A
MA
Stokes
G L
GL
Hill
D000293:Adolescent; D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D003106:Colon / Q000601:surgery; D003424:Crohn Disease / Q000453:epidemiology / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006785:Hospitals, University; D006801:Humans; D007082:Ileum / Q000601:surgery; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009520:New Zealand; D011183:Postoperative Complications / Q000453:epidemiology / Q000401:mortality; D012720:Severity of Illness Index