Surgical Management of Crohn's Disease - cme

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Surgery for Crohn’s <strong>Disease</strong>: StrictureplastyAn alternative to resection in “stenosing”disease• 698 strictureplasties in 162patients• Cumulative 5 year reoperativerecurrence = 28%• Re-stricture at previousstrictureplasty site = 5%• Most re-operationsperformed for new sites <strong>of</strong>disease
• Finding intestinal strictures at surgery
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 18 and 19: Effect of resection margins on the
Page 20 and 21: Anastomotic technique• Stapled ve
Page 22 and 23: Strictureplasty• First described
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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