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Crohn’s Disease: Surgical Management

  • Roberta MuldoonEmail author
  • Alan J. Herline
Chapter

Abstract

Crohn’s disease is a chronic transmural inflammatory condition that primarily affects the terminal ileum and colon; however, it can affect all portions of the gastrointestinal tract. The course that the disease takes is variable, often manifesting acute attacks on a chronic underlying potentially debilitating condition. Though Crohn’s disease, at this time, is not curable, the goal of treatment is to induce and maintain remission of the disease to control symptoms as well as decrease the complications from this disease. This is accomplished primarily through medications; however, surgery plays an important role in the treatment of this disease.

Keywords

Crohn’s disease Incidence Prevalence Indications Preoperative evaluations Imaging Operative considerations Nutritional assessment Recurrence 

Supplementary material

Video 49.1

Laparoscopic ileocolic resection (MP4 234762 kb)

Copyright information

© ASCRS (American Society of Colon and Rectal Surgeons) 2019

Authors and Affiliations

  1. 1.Department of SurgeryVanderbilt University HospitalNashvilleUSA
  2. 2.Department of SurgeryGeorgia Regents UniversityAugustaUSA

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