[Crohn disease and ulcerative colitis from the surgical viewpoint].
Crohn's Disease and Ulcerative Colitis, both chronic-recurrent inflammatory bowel diseases, are totally different with respect to surgical indication and therapy. While in Crohn's Disease it is intended to achieve a longer interval of resting disease at typical complications or failure of drug-therapy, in Ulcerative Colitis definitive cure is possible. Because of the significant lower mortality and complication-rate of elective surgery compared to emergency cases, surgical treatment should be considered very early as therapeutic strategy. The resection area in Crohn's Disease should be confined to a minimum, because even a wide resection is no guaranty for nonrecurrence. In Ulcerative Colitis proctocolectomy provides a reliable protection against colonic carcinoma.
Paskuda
P
P
Lehr
L
L
Siewert
J R
JR
D001003:Anal Canal / Q000601:surgery; D003082:Colectomy; D003093:Colitis, Ulcerative / Q000601:surgery*; D003424:Crohn Disease / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology*; D012007:Rectum / Q000601:surgery; D012008:Recurrence
Morbus Crohn und Colitis ulcerosa aus chirurgischer Sicht.