Resection for the treatment of Crohn's disease--a thirteen years experience in the Tampere region.
One hundred patients with Crohn's disease were treated at Tampere University Hospital during a thirteen year period 1972-84. 73 of these patients had undergone an operation during a 23 year observation period. Crohn's disease was suspected prior to the operation in 53% and was an incidental finding in 41% of cases. 71% had a resection as the first operation and 15% a later resection after non-resective operation, yielding a total resection rate of 86%. The main indications for resection were obstruction in 75%, bowel fistula in 8% and colitis in 10% of cases. The ileocaecal region was the most usual site (66%) for resection. Recurrence of the disease implicated a second-resection in 11 of the 63 cases (17%). There were no differences in respect of age, duration of symptoms or presentation of anal disease before the first resection in the patients with one or two resections. After second resections there were no third resections during the median follow-up of 17 months.
Kangas
E
E
Department of Surgery, University of Tampere, Finland.
Matikainen
M
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003424:Crohn Disease / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications; D012008:Recurrence; D012189:Retrospective Studies