Takahashi-Monroy T

Language: Spanish
References: 15
Page: 351-356
PDF size: 206.08 Kb.

ABSTRACT

Objective: The experience with the surgical treatment of Crohn´s Disease is analyzed in order to determine the indications for surgery, surgical procedures, postoperative complications and associated risk factors, and recurrence rates.
Material and methods: Retrolective analysis of patients operated upon for Crohn´s Disease between 1979 and 1997. Risk factors for operative morbidity were searched, and actuarial curves for recurrence of disease were constructed.
Results: There were 34 patients with a mean age of 46 years. All patients were operated upon because of complications; the most frequent ones were stenosis and obstruction. The affected patterns were ileocecal in 53%, colitis in 35% and small bowel in 12%. Segmental resections were the most frequent ones, mainly ileo-cecal. Operative morbidity was 32% and mortality 6%. The presence of colonic affection and the necessity of its resection was a higher risk for complications (P‹0.05). Actuarial recurrence was 39% at 107 months.
Conclusions: Surgery for Crohn´s disease was mainly indicated in complications, presented high rates of morbidity associated with colonic involvement and resections, and there were high rates of recurrence at long-term.

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