ISSN:0012-3706    

出版商:OVID    

年代:1977

数据来源: OVID

摘要:

&NA;Seventy‐four patients having primary Crohn's disease of the small intestine have had follow‐up studies for at least 10 years after initial resection, and the results of treatment are presented. The commonest indication for operative treatment was obstruction, followed by fistula formation, intractability, abscess formation, and free perforation. Disease recurred in 69 per cent of patients in this series, and 55 per cent of this group required further operative treatment. It is necessary to have a lengthy follow‐up period if we are to appreciate fully the serious nature of the recurrence problems of Crohn's disease of the small intestine.

ISSN:0012-3706    

出版商:OVID    

年代:1977

数据来源: OVID

摘要:

&NA;The results of our clinical study, generally supported by the recent literature and a consensus of colorectal surgeons, indicate that an appendectomy can safely be performed in the presence of Crohn's ileitis. When fistulas do occur, they originate in the small bowel and not in the appendiceal stump. Non‐granulomatous appendicitis does occur in the course of regional enteritis. The advantage of appendectomy in the face of regional enteritis is that it simplifies evaluation of abdominal pain in the future.

ISSN:0012-3706    

出版商:OVID    

年代:1977

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1977

数据来源: OVID

摘要:

&NA;Between 1965 and 1975, 27 patients underwent surgical treatment for ileosigmoidal fistulas complicating Crohn's disease at the Cleveland Clinic. There was no death and no anastomotic leak. The preferred procedure is resection of the ileocecal area involved by Crohn's disease with ileocolic anastomosis and a separate segmental resection of the sigmoid colon with colocolic anastomosis. A covering temporary loop ileostomy is used when there is associated pelvic sepsis or small‐bowel obstruction.

ISSN:0012-3706    

出版商:OVID    

年代:1977

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1977

数据来源: OVID

摘要:

&NA;Nine cases of duodenal fistula complicating Crohn's disease are reported. All nine patients were male. Four patients had Crohn's disease of the ileum and five had ileocolitis. No patient had primary duodenal Crohn's disease. Because attempt at primary closure of the duodenal defect may fail, our treatment of choice has been formal cross‐cut two‐layered duodenojejunal anastomosis with extensive drainage of the area postoperatively. This treatment has been associated with no mortality and little morbidity, and no late recurrence of duodenal fistula.

ISSN:0012-3706    

出版商:OVID    

年代:1977

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1977

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1977

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1977

数据来源: OVID