[Complications of Crohn disease, surgical indications, surgical solutions and recurrence].
There is not another disease, of which complications would be such frequent and various as of Crohn's disease. One of the most common complications is intestinal obstruction, caused by angulation and stricture, as a result of inflammatory granulomas. Fistulas between affected intestines and cavital organs or the abdominal wall can also often be observed. The likelihood of appearing complications is correlating with the time from the onset of the disease. If they are dangerous for the patient's life, surgical intervention is required. In some of the cases, when complications don't threaten the patient's life, medical treatment may be beneficial. Surgery is indicated only in those cases, when complications mean danger, or the continuous active medical treatment is insufficient. Most frequently the resection of the damaged intestine is performed, nowadays stricture plasty is also recommended. The operative mortality is 4.1%. The disease is featured by frequent recurrences: 28% to 33.3%. The current operative mortality is 18.6%. The prognosis is always uncertain, because recurrence may occur many years after operation.
Ihász
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M
III. sz. Sebészeti Klinika, Semmelweis Orvostudományi Egyetem, Budapest.
Barta
T
T
D003424:Crohn Disease / Q000150:complications* / Q000601:surgery; D005402:Fistula / Q000209:etiology / Q000601:surgery; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D007414:Intestinal Neoplasms / Q000209:etiology / Q000601:surgery; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery; D011183:Postoperative Complications / Q000401:mortality; D012008:Recurrence