Surgical Management of Crohn's Disease - cme

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Effect of resection margins on the recurrence ofCrohn’s disease in the small bowel• 131 patients randomized to 2cm vs 12 cm margin fromgrossly involved bowel.• Median f/u = 55.7 monthsRecurrence = operation for preanastomoticdisease• Recurrence rates– Limited resection = 25%– Extended resection = 18%– p=NS• Results – no differences in earlypost-op complications
Surgical decision making• Timing of surgery• Preoperative infection control• Resection margins• Anastomotic technique• Strictureplasty versus resection• Laparoscopic versus open surgery• Segmental versus total colectomy• Perioperative CD medications
Page 3: PhenotypesInflammatory Stricturing
Page 6 and 7: Goals of surgical management• Pal
Page 8 and 9: Surgical decision making• Timing
Page 10: Perforating Crohn's ileitis: delay
Page 15 and 16: Intraabdominal abscessInfluence of
Page 20 and 21: Anastomotic technique• Stapled ve
Page 22 and 23: Strictureplasty• First described
Page 24 and 25: Surgery for Crohn’s Disease: Stri
Page 32 and 33: Laparoscopic surgery• Cochrane Da
Page 34 and 35: Crohn’s colitis• Disease patter
Page 38 and 39: SteroidsTotal complicationsSeptic c
Page 40 and 41: Biologics
Page 42: Summary• Surgery for CD is pallia

Surgical Management of Crohn's Disease - cme

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