{"title":"克罗恩病的外科治疗","authors":"Jun-lin Li, Shao-liang Han","doi":"10.3760/CMA.J.ISSN.1007-631X.2019.07.003","DOIUrl":null,"url":null,"abstract":"Objective \nTo investigate the surgical indication and surgical procedures for Crohn disease. \n \n \nMethods \nClinical data of 47 cases with Crohn disease were retrospectively analyzed. \n \n \nResults \nThe main clinical manifestations were abdominal pain ( 35 cases), diarrhea (16 cases), emaciation and fatigue( 12 cases), abdominal mass (9 cases), intestinal obstruction (31 cases), intestinal adhesion (18 cases), intestinal perforation( 8 cases), intestinal bleeding ( 11 cases) , internal fistula ( 4 cases), abdominal abscess( 4 cases). Preoperative enteroscopy was performed in 23 cases, and 7 cases were diagnosed as Crohn′s disease. Operative procedures included colectomy in 15 cases, small bowel resection and intestinal adhesion lysis in 29 cases, ileostomy in 3 cases. Postoperative complications occurred in 13 cases, including incision dehiscence in 2 cases, intestinal fistula in 5 cases, there were 2 cases of stress ulcer, pulmonary infection in 1 case and short bowel syndrome in 1 case, early postoperative inflammatory bowel obstruction in 2 cases and death in 1 case. 44 patients were followed-up, for an average of 6.8 years. Recurrence of Crohn′s disease was found in 11 cases and canceration in 3 cases. \n \n \nConclusions \nSurgery is still the mainstay for Crohn′s disease, and close follow-up is important for disease recurrence and canceration. \n \n \nKey words: \nCrohn disease; Surgical procedures, operative; Complications","PeriodicalId":66425,"journal":{"name":"中华普通外科杂志","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2019-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Surgical treatment of Crohn disease\",\"authors\":\"Jun-lin Li, Shao-liang Han\",\"doi\":\"10.3760/CMA.J.ISSN.1007-631X.2019.07.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective \\nTo investigate the surgical indication and surgical procedures for Crohn disease. \\n \\n \\nMethods \\nClinical data of 47 cases with Crohn disease were retrospectively analyzed. \\n \\n \\nResults \\nThe main clinical manifestations were abdominal pain ( 35 cases), diarrhea (16 cases), emaciation and fatigue( 12 cases), abdominal mass (9 cases), intestinal obstruction (31 cases), intestinal adhesion (18 cases), intestinal perforation( 8 cases), intestinal bleeding ( 11 cases) , internal fistula ( 4 cases), abdominal abscess( 4 cases). Preoperative enteroscopy was performed in 23 cases, and 7 cases were diagnosed as Crohn′s disease. Operative procedures included colectomy in 15 cases, small bowel resection and intestinal adhesion lysis in 29 cases, ileostomy in 3 cases. Postoperative complications occurred in 13 cases, including incision dehiscence in 2 cases, intestinal fistula in 5 cases, there were 2 cases of stress ulcer, pulmonary infection in 1 case and short bowel syndrome in 1 case, early postoperative inflammatory bowel obstruction in 2 cases and death in 1 case. 44 patients were followed-up, for an average of 6.8 years. Recurrence of Crohn′s disease was found in 11 cases and canceration in 3 cases. \\n \\n \\nConclusions \\nSurgery is still the mainstay for Crohn′s disease, and close follow-up is important for disease recurrence and canceration. \\n \\n \\nKey words: \\nCrohn disease; Surgical procedures, operative; Complications\",\"PeriodicalId\":66425,\"journal\":{\"name\":\"中华普通外科杂志\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2019-07-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"中华普通外科杂志\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.ISSN.1007-631X.2019.07.003\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华普通外科杂志","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1007-631X.2019.07.003","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Objective
To investigate the surgical indication and surgical procedures for Crohn disease.
Methods
Clinical data of 47 cases with Crohn disease were retrospectively analyzed.
Results
The main clinical manifestations were abdominal pain ( 35 cases), diarrhea (16 cases), emaciation and fatigue( 12 cases), abdominal mass (9 cases), intestinal obstruction (31 cases), intestinal adhesion (18 cases), intestinal perforation( 8 cases), intestinal bleeding ( 11 cases) , internal fistula ( 4 cases), abdominal abscess( 4 cases). Preoperative enteroscopy was performed in 23 cases, and 7 cases were diagnosed as Crohn′s disease. Operative procedures included colectomy in 15 cases, small bowel resection and intestinal adhesion lysis in 29 cases, ileostomy in 3 cases. Postoperative complications occurred in 13 cases, including incision dehiscence in 2 cases, intestinal fistula in 5 cases, there were 2 cases of stress ulcer, pulmonary infection in 1 case and short bowel syndrome in 1 case, early postoperative inflammatory bowel obstruction in 2 cases and death in 1 case. 44 patients were followed-up, for an average of 6.8 years. Recurrence of Crohn′s disease was found in 11 cases and canceration in 3 cases.
Conclusions
Surgery is still the mainstay for Crohn′s disease, and close follow-up is important for disease recurrence and canceration.
Key words:
Crohn disease; Surgical procedures, operative; Complications