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Role of Interventional Radiology

  • Chapter
Crohn’s Disease

Part of the book series: Updates in Surgery ((UPDATESSURG))

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Abstract

Crohn’s disease (CD) is a chronic condition in which patients often require multiple surgical procedures during their lifetime. Specifically, approximately 70–90% of patients with CD require surgery, and 33–82% undergo a second operation during the course of the disease [1]. Up to 33% may require more than two bowel resections. The results of percutaneous abscess drainage (PAD) must be viewed within this context, with the goal of minimizing the invasiveness of interventions equally as important as minimizing the number of interventions. Abdominal or pelvic abscesses occur in 10–28% of patients with CD during their lifetimes [2–6]. The mechanisms of abscess formation in these patients include peritoneal contamination at the time of previous surgery, remote hematologic seeding from diseased bowel, and direct extension from involved bowel. The latter is the most common mechanism, reflecting the transmural nature of the disease process, with deep, fissuring ulceration that may result in perforation of the bowel wall.

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Author information

Authors and Affiliations

  1. Interventional Radiology Unit, Department of Radiology, San Camillo-Forlanini Hospital, Rome, Italy

    Francesco Colucci, Paolo Agresti, Stefano Pieri, Maurizio Morucci & Lorenzo de’ Medici

Authors
  1. Francesco Colucci
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  2. Paolo Agresti
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  3. Stefano Pieri
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  4. Maurizio Morucci
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  5. Lorenzo de’ Medici
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Editor information

Editors and Affiliations

  1. Department of Surgery, San Camillo-Forlanini Hospital, Rome, Italy

    Roberto Tersigni (Chief and Chairman) (Chief and Chairman)

  2. Gastroenterology Unit, San Camillo-Forlanini Hospital, Rome, Italy

    Cosimo Prantera (Professor Emeritus) (Professor Emeritus)

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© 2010 Springer-Verlag Italia

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Colucci, F., Agresti, P., Pieri, S., Morucci, M., de’ Medici, L. (2010). Role of Interventional Radiology. In: Tersigni, R., Prantera, C. (eds) Crohn’s Disease. Updates in Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-1472-5_10

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  • DOI: https://doi.org/10.1007/978-88-470-1472-5_10

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-1471-8

  • Online ISBN: 978-88-470-1472-5

  • eBook Packages: MedicineMedicine (R0)

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