Crohn’s disease complications, requiring surgical treatment
Mikhail N. Klimentov , S. N. Styazhkina , O. A. Neganova , M. S. Lyubimtseva , E. V. Semibratova , O. D. Turbin
Perm Medical Journal ›› 2019, Vol. 36 ›› Issue (3) : 98 -105.
Crohn’s disease complications, requiring surgical treatment
Crohn’s disease sickness rate is 0.3–0.2 per 100000 persons, its prevalence is 322 per 100000 persons; Up to 60–70 % of patients with Crohn’s disease undergo this or that type of surgical intervention – from opening of paraproctitis to extensive intestinal resections. Uninterrupted course of disease and probability of severe relapses induce application of long postoperative drug therapy to avoid repeated operations. Repeated resections of the bowel in Crohn’s disease are dangerous from the position of the development of short bowel syndrome, severe digestive disorders. Surgical treatment in Crohn’s disease is aimed at prevention of complications and improvement of patients’ quality of life, if drug therapy is useless.
Crohn’s disease / inflammatory bowel diseases / surgical treatment / surgical complications / acute terminal ileitis
| [1] |
Воробьев Г.И., Халиф И.Л. Неспецифические воспалительные заболевания кишечника. М.: Миклош 2008; 248–251. |
| [2] |
Головенко А.О., Халиф И.Л., Головенко О.В. Профилактика послеоперационных рецидивов болезни Крона. Колопроктология 2012; 42 (4): 40–48. |
| [3] |
Голышева С.В. Качество жизни больных неспецифическим язвенным колитом и болезнью Крона до и после операции: автореф. дис. ... канд. мед. наук. М.: Первый МГМУ им. Сеченова 2007: 24. |
| [4] |
Щукина О.Б., Горбачева Д.Ш., Григорян В.В. Влияние фенотипа болезни Крона и других прогностических факторов на течение заболевания. Колопроктология 2014; 49 (3): 102–103. |
| [5] |
Cosnes J., Gower-Rousseau C., Seksik P., Cortot A. Epidemiology and natural history of inflammatory bowel diseases. Gastroenterology 2011; 140: 1785–1794. |
| [6] |
Ng S.C., Kamm M.A. Management of postoperative Crohn’s disease. Am J Gastroenterol 2008; 103 (4): 1029–1035. |
| [7] |
Sachar D.B., Andrew H.A., Farmer R.G. Proposed classification of patient subgroups in Crohn's disease. GastroenterolIntern 1992; 5: 141–154. |
| [8] |
Yamamoto T. Strategies for 25. The prevention of postoperative recurrence of Crohn’s disease. Colorectal Disease 2013; 15 (12): 1471–1480. |
Klimentov M.N., Styazhkina S.N., Neganova O.A., Lyubimtseva M.S., Semibratova E.V., Turbin O.D.
/
| 〈 |
|
〉 |
PDF
