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- W2091279714 abstract "Crohn’s disease (regional enteritis) is a chronic inflammatory condition of the intestinal tract of unknown causation. Although the disease may be present in any part of the digestive tract, most commonly Crohn’s disease affects the terminal ileum (with or without colonic involvement) or is manifested in the large bowel alone. In general, the following three main clinicalanatomic patterns of Crohn’s disease are recognized: small-bowel pattern, ileocolic pattern, and colonic (including rectum) Crohn’s disease. There seems to be value in using this type of classification because indications for surgery, operative procedures, and even recurrence rates have some variance depending on the pattern under consideration. Recurrent disease, discussed elsewhere in this issue, is the counterpoint to curb the clinician’s enthusiasm for recommending surgery for patients with Crohn’s disease. Although there may be some differences in the rates at which recurrences develop following surgery for specific anatomic patterns of disease, there is a high cumulative probability (50%) of reoperation in Crohn’s disease. This specter of recurrence looms large, then, in the considerations of the clinician before surgery is recommended. Surgical treatment, like medical treatment, is attended by complications to a greater or lesser extent, dependent mostly on severity of illness in the peri-preoperative phase as well. Even without complications, patients will experience a variety of symptoms postoperatively, such as flatulence, reduced stamina, abdom" @default.
- W2091279714 created "2016-06-24" @default.
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- W2091279714 date "2007-03-01" @default.
- W2091279714 modified "2023-10-16" @default.
- W2091279714 title "Indications and Strategies for the Surgery of Crohn’s Disease" @default.
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- W2091279714 doi "https://doi.org/10.1053/j.scrs.2006.12.009" @default.
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