The Surgical Options and Management of Intestinal Crohn’s Disease

Abstract

Crohn's disease (CD) is a pan-gastrointestinal illness. It is notorious for recurrences which can develop in any segment of the gastrointestinal tract. There are many indications and surgical options for intestinal Crohn's disease . We discuss these options based on the current literature. It is important to note however, that operative treatment is based on the correct diagnosis, clinical presentation, sphincter function and patient motivation. Early and timely referral to a surgeon is paramount. The goals of continued medical therapy need to be clearly defined as do the criteria for referral to surgery.

Surgery and Postoperative Recurrence in Children With Crohn Disease

“…In CD, surgery is often recommended, when medical treatment has failed. Growth retardation in paediatric patients with localised disease may, however, also lead to early surgical intervention (5). Historically, 50% to 90% of adult patients with CD will need bowel resection at some time (1,(5)(6)(7)(8).…”

“…Growth retardation in paediatric patients with localised disease may, however, also lead to early surgical intervention (5). Historically, 50% to 90% of adult patients with CD will need bowel resection at some time (1,(5)(6)(7)(8). A recent study showed cumulative 5-year surgery rates for CD from time of diagnosis in paediatric and adult patients of 18% and 21%, respectively (4).…”