[Surgical treatment of Crohn's disease--recurrence and prognosis in operated cases].
We have experienced 40 cases of Crohn's disease from 1970 to 1984 and surgical treatments were performed in 22 cases. Ileocolitis was found in 10, ileitis in 6, colitis in 5 and appendix was involved in 1 case. Postoperative follow-up is accomplished in all cases. Recurrences are confirmed in 7 cases (35%). Microscopic findings at the resected stump showed no significant difference in recurrent rate. Recurrence was found in 2 of 6 inflammatory positive cases (33%). And 5 were recurred in 13 negative cases (38%). Mean recurred time, however, is shorter in positive cases (1 Yr 10 mos) compared with negative cases (4 yrs 7 mos). We have performed intraoperative endoscopy for the decision of the scope of resection in recent 7 cases, of which 2 cases recurred (follow-up time: 6 years). Quality of life in operated cases was almost good except 1 recurrent case. Even if operated case is recurred, patients are easily managed and leading in satisfactory life.
D003424:Crohn Disease / Q000601:surgery*; D006801:Humans; D011379:Prognosis; D012008:Recurrence