Crohn’s disease, as a chronic inflammatory disease of unknown etiology that can affect any part of the alimentary canal from the mouth to the anus, has a highly variable course and a very unpredictable evolution. Even surgery does not cure CD, it has however a relevant role in its treatment in combination to medical therapy during the large course of the disease; indeed almost each patient is submitted to a surgical intervention during his life. Nowadays, surgery is considered the last treatment to use whenever medical therapy is insufficient to control symptoms; this choice involves an intervention on more serious patients with more surgical complications. Surgery finds in the Crohn’s disease a main role in the management of the obstructive or septic complications; however, elective surgical treatments are proposed in patients with sub-occlusive presentation due to chronic fistulas or with high CD index (>220) with a terminal ileum-cecum disease.

Cocorullo, G., Tutino, R., Falco, N., Fontana, T., Guercio, G., Salamone, G., et al. (2015). Surgical Emergencies in Crohn’s Disease. In G. Lo Re, M. Midiri (a cura di), Crohn's Disease: Radiological Features and Clinical-Surgical Correlations (pp. 153-157). Springer International Publishing [10.1007/978-3-319-23066-5_17].

Surgical Emergencies in Crohn’s Disease

COCORULLO, Gianfranco;TUTINO, Roberta;FALCO, Nicolo';FONTANA, Tommaso;GUERCIO, Giovanni;SALAMONE, Giuseppe;GULOTTA, Gaspare
2015-01-01

Abstract

Crohn’s disease, as a chronic inflammatory disease of unknown etiology that can affect any part of the alimentary canal from the mouth to the anus, has a highly variable course and a very unpredictable evolution. Even surgery does not cure CD, it has however a relevant role in its treatment in combination to medical therapy during the large course of the disease; indeed almost each patient is submitted to a surgical intervention during his life. Nowadays, surgery is considered the last treatment to use whenever medical therapy is insufficient to control symptoms; this choice involves an intervention on more serious patients with more surgical complications. Surgery finds in the Crohn’s disease a main role in the management of the obstructive or septic complications; however, elective surgical treatments are proposed in patients with sub-occlusive presentation due to chronic fistulas or with high CD index (>220) with a terminal ileum-cecum disease.
2015
Cocorullo, G., Tutino, R., Falco, N., Fontana, T., Guercio, G., Salamone, G., et al. (2015). Surgical Emergencies in Crohn’s Disease. In G. Lo Re, M. Midiri (a cura di), Crohn's Disease: Radiological Features and Clinical-Surgical Correlations (pp. 153-157). Springer International Publishing [10.1007/978-3-319-23066-5_17].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10447/208064
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