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Surgical treatment of Crohn's disease - pitfalls and disputes

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Author(s): Lech Baczuk | Krzysztof Bielecki | Wiesław Tarnowski | Marta Szymańska

Journal: Polish Gastroenterology
ISSN 1232-9886

Volume: 16;
Issue: 2;
Start page: 117;
Date: 2009;
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Keywords: Crohn's disease | surgical treatment

ABSTRACT
The role of surgery in the treatment of some special situations in patients with Crohn’s disease (CD) remains controversial. The strategy for the surgical management of CD is still evolving. The authors present the current concepts and controversies of surgery for CD based on their own experience. Special attention is given to: a) ileocolic resection when acute Crohn's ileitis is identified during laparotomy for right lower quadrant abdominal pain, b) sphincter-preserving operations in the treatment of anorectal Crohn's lesions, c) indications for segmental resection, strictu-replasty, and by-pass procedures in the treatment of intestinal obstruction, and d) restorative proctocolectomy for Crohn's colitis.
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