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Surgery for Small Bowel Crohn’s Disease

  • Paul Rooney
  • Nicola Eardley
Chapter

Abstract

Surgery cannot “cure” Crohn’s disease but should be about best managing the complications of the disease. It is the transmural inflammation that is typical of Crohn’s disease which gives rise to the complications of stricture, abscess, and fistulation. Symptoms may include abdominal pain, diarrhea, malaise, fever, anorexia, weight loss, or anemia and will vary depending upon the underlying nature and distribution of the disease. In an individual patient, the disease tends to be either stricturing or fistulating, and recurrent disease after surgical resection tends to recur in a similar pattern [1]. Crohn’s disease most commonly affects the terminal ileum (when it was first reported, it was termed “terminal ileitis” [2]) with ileocolic disease present in approximately 40% of patients, ileal disease in 30%, and colonic/anal disease in less than 30% [3].

Keywords

Intestinal Fistula Anastomotic Failure Ileocolic Anastomosis Terminal Ileitis Fibrotic Stricture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag London Limited 2012

Authors and Affiliations

  1. 1.Department of SurgeryRoyal Liverpool University HospitalLiverpoolUK

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