Surgical Management of Crohn's Disease - cme

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Crohn’s colitis• Disease patterns dictate resection– Pancolitis with proctitis TPC w ileostomy– Pancolitis no proctitis TAC w IRA– Proctosigmoiditis or APR or TPCsevere perianal disease– Segmental colitis Segmentalcolectomy orTAC/IRA
Crohn’s colitis• Meta-analysis ofsegmental vs.subtotal colectomy– No difference insurgical recurrence,overall recurrence,postop complicationsor incidence ofstoma formation– Faster time tosurgical recurrencein segmental group• Conclusions– Segmentalcolectomy isappropriate in ahighly select group ofpatients• Truly segmental• Rectal sparing• No TI disease• No Perianal disease• Good sphincter tone• Distensible rectum
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 24 and 25: Surgery for Crohn’s Disease: Stri
Page 32 and 33: Laparoscopic surgery• Cochrane Da
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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