Perforating and nonperforating Crohn's diseaseAn unpredictable guide to recurrence after surgery
作者:
Peter,
McDonald Victor,
Fazio Richard,
Farmer David,
Jagelman Ian,
Lavery William,
Ruderman Kirk,
Easley Peter,
期刊:
Diseases of the Colon & Rectum
(OVID Available online 1989)
卷期:
Volume 32,
issue 2
页码: 117-120
ISSN:0012-3706
年代: 1989
出版商: OVID
关键词: Crohn's disease;Recurrence prediction;Perforating;Nonperforating
数据来源: OVID
摘要:
&NA;Four hundred eighty‐six patients who have had resections for Crohn's disease at the Cleveland Clinic were reviewed. The patients were categorized by indication for surgery into three groups: perforating (P) (135 patients), nonperforating (NP) (278 patients), and miscellaneous (M) (77) patients. One hundred ninety‐four patients had two or more resections and 56 underwent a third resection. Patients were no more likely to have the same indication for surgery at the time of the second resection (P=25 percent; NP=44 percent; M=57 percent) or the third resection (P=11 percent; NP=65 percent; M=55 percent). There was also no difference in the interval between resections for the P and NP groups. The lack of agreement between resections suggests that the categorization of patients into P and NP groups does not facilitate prediction of the nature of recurrent disease. The concept of aggressive perforating and indolent nonperforating Crohn's is not substantiated by this study.
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