scholarly journals Surgical Treatment of Acute Manifestations of Crohn's Disease during Pregnancy

1997 ◽  
Vol 90 (2) ◽  
pp. 64-66 ◽  
Author(s):  
J Hill Chm ◽  
A Clark ◽  
Na Scott
Keyword(s):  
Crohn’S Disease ◽  
Surgical Treatment ◽  
Crohn's Disease ◽  
Pregnant Women ◽  
Colonic Anastomosis ◽  
The Other ◽  
Fetal Mortality ◽  
Indications For Surgery ◽  
Acute Exacerbations ◽  
In Pregnancy

When requiring surgery, acute exacerbations of Crohn's disease in pregnancy have been reported to carry high maternal and fetal mortality. We report six cases. The women presented at 30, 28, 12, 11, 31 and 25 weeks' gestation and all proved to have intraperitoneal sepsis. In three, the acute symptoms were the first indication of Crohn's disease. All the women recovered and five had healthy babies; the other had a miscarriage when a colonic anastomosis dehisced. In pregnant women with Crohn's disease, the indications for surgery are the same as in non-pregnant patients. For acute manifestations we recommend removal of the source of the sepsis and exteriorization of the bowel ends.

Fecal Diversion in Perirectal Fistulizing Crohn's Disease is an Underutilized and Potentially Temporary Means of Successful Treatment

2009 ◽  
Vol 75 (8) ◽  
pp. 715-718 ◽  
Author(s):  
Kellee L. Rehg ◽  
Jaime E. Sanchez ◽  
Beth R. Krieger ◽  
Jorge E. Marcet
Keyword(s):  
Crohn’S Disease ◽  
Surgical Treatment ◽  
Crohn's Disease ◽  
Complete Resolution ◽  
Disease Recurrence ◽  
Fecal Diversion ◽  
The Other ◽  
Intestinal Continuity ◽  
Disease Free ◽  
Viable Treatment

The purpose of this study was to determine the outcome of patients treated with fecal diversion for perirectal fistulizing Crohn's disease. Thirty-nine patients were identified and followed for an average of 60 months. Patients were divided into two groups based on surgical treatment: local surgical treatment only and fecal diversion in addition to local surgical therapy. Thirteen patients (33%) underwent fecal diversion due to the severity of their disease. Eleven of these patients (85%) had complete resolution of their fistulas and only two (15%) required proctectomy. In contrast, only five out of 26 patients (19%) who underwent local surgical procedures alone had complete perirectal disease resolution. Intestinal continuity was restored in six patients (46%) and three of these patients (50%) remained disease free. The remaining three patients had disease recurrence, which required additional local procedures in one patient (17%), but with eventual resolution; the other two patients (33%) necessitated rediversion. Our data suggest that fecal diversion is a viable treatment option for severe perirectal fistulizing Crohn's disease and may be associated with a higher rate of resolution than local surgical treatment alone. In addition, we demonstrate a higher rate of successful intestinal continuity restoration than is typically reported.

Surgical Treatment for Colorectal Cancer in Crohn’s Disease

2016 ◽  
pp. 131-150
Author(s):  
Hiroki Ikeuchi ◽  
Motoi Uchino ◽  
Toshihiro Bando ◽  
Kei Hirose ◽  
Nobuyuki Hida ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Crohn’S Disease ◽  
Surgical Treatment ◽  
Crohn's Disease

CROHN’S DISEASE IN CHILDREN: THE CURRENT STATE OF THE PROBLEM

2021 ◽  
Vol 100 (6) ◽  
pp. 78-85
Author(s):  
A.S. Bekin ◽  
◽  
E.Yu. Dyakonova ◽  
A.N. Surkov ◽  
A.P. Fisenko ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Surgical Treatment ◽  
Crohn's Disease ◽  
Granulomatous Inflammation ◽  
Unknown Etiology ◽  
Systemic Complications ◽  
Current State ◽  
Conservative And Surgical Treatment ◽  
Scientific Ideas ◽  
Local And Systemic Complications

Crohn's disease (CD) is chronic recurrent bowel disease of unknown etiology, characterized by segmental transmural granulomatous inflammation, mainly with the development of local and systemic complications. Despite the active development of conservative therapy methods, the number of drug-resistant forms of CD and complications of the disease requiring surgical treatment continues to increase. The article reflects modern scientific ideas about the methods of diagnosis, conservative and surgical treatment of CD in children.

Surgical Treatment for perianal Crohn's disease

2019 ◽  
Vol 4 (1) ◽  
pp. 13
Author(s):  
Zhen-Yi Wang ◽  
Dan Gan ◽  
Wei Jin ◽  
Ying Li ◽  
Chang-Peng Han
Keyword(s):  
Crohn’S Disease ◽  
Surgical Treatment ◽  
Crohn's Disease ◽  
Perianal Crohn’S Disease ◽  
Perianal Crohn's Disease

scholarly journals P629 Impact of surgical treatment on quality of life in Crohn’s disease: Short-and longer-term follow-up

2018 ◽  
Vol 12 (supplement_1) ◽  
pp. S427-S428
Author(s):  
S D'Ugo ◽  
F Romano ◽  
G Bagaglini ◽  
L Fazzolari ◽  
B Sensi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Crohn’S Disease ◽  
Surgical Treatment ◽  
Crohn's Disease
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