[Surgical treatment for Crohn's disease].
No medical on surgical treatment exists that is ideal for the patient afflicted Crohn's disease. During the chronic course of disease various complications or significant side effect of medications will develop. At this point, the patient is offered an operation. Indication for surgery rarely absolute in Crohn's disease with the exception of life threatening emergencies such as free perforation or massive hemorrhage. Common indications are bowel obstruction due to stenosis, fistula in various sites, abscess and perianal complications. It is well known that future likelihood of postoperative "recurrence" of the disease, and to learn various operative procedures described in this article. Therefore surgeon should be alert to understand the pathophysiology of the disease and to learn various operative procedures described in this article. It is important to determine proper indication and to choose best timing for operation and select the appropriate operative procedures.
Baba
S
S
Second Department of Surgery, Hamamatsu University, School of Medicine, Japan.
D000038:Abscess / Q000150:complications; D003092:Colitis / Q000601:surgery; D003251:Constriction, Pathologic; D003424:Crohn Disease / Q000150:complications / Q000473:pathology / Q000601:surgery*; D005774:Gastrostomy; D006801:Humans; D007410:Intestinal Diseases / Q000150:complications; D007415:Intestinal Obstruction / Q000150:complications; D007582:Jejunostomy; D009748:Nutrition Disorders / Q000150:complications