[Does the histological status of the surgical section have any influence on the follow-up of Crohn disease treated surgically?].
Can we decrease the risk of recurrence of Crohn's disease by wide resection on either side of the pathological zone? A retrospective study of 58 cases of operated Crohn's disease analysed on the basis of the histological appearance of the limits of resection revealed that this element had no influence on the outcome of the disease. The patients were divided into two groups according to the histology of the limits of resection: Group A: healthy tissue at the limits of resection Group B: pathological limits Out of the 18 cases of recurrence, 13 occurred in cases with healthy limits of resection and 5 occurred in cases with pathological limits of resection (N.S. X2 = 0.435). There was no significant difference in the interval between the initial operation and the recurrence in the 2 groups of patients. These results justify the limited resection for Crohn's disease, with the removal of a small border of healthy tissue, which is best evaluated by intraoperative macroscopic examination.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003092:Colitis / Q000473:pathology; D003424:Crohn Disease / Q000150:complications / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D007079:Ileitis / Q000473:pathology; D007415:Intestinal Obstruction / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000209:etiology; D012008:Recurrence; D012189:Retrospective Studies; D012306:Risk
L'état histologique des tranches de section chirurgicale a-t-il une influence sur l'évolution de la Maladie de Crohn opérée?