Surgery for Crohn’s disease (CD) has changed considerably during the past 10 years as a result of the introduction of new models in medical therapy. Despite these advances, even conservatively minded physicians have needed to resort to surgical treatment for 70–90% of patients with CD. Since the disease is incurable, the indications for surgery remain relatively straightforward: failure of medical management and complications of the disease process. Surgery is considered by many gastroenterologists as a last resort and reserved essentially for patients in whom medical therapy has failed. However, this carries an increased risk for the patients, because the disease can become more complicated . For this reason many surgeons opt for the elective surgical treatment of CD, advising early resection because of the fear that a delayed approach is associated with serious and frequent complications. It should be pointed out that early surgery prolongs clinical remission compared to late surgery, but the surgical recurrences and the natural history of the disease are not modified.
KeywordsTerminal Ileum Linear Stapler Loop Ileostomy Restorative Proctocolectomy Total Abdominal Colectomy
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