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[Inflammatory bowel diseases (Crohn disease and ulcerative colitis). Possibilities and limitations of surgical therapy].
Ther Umsch. 1991 Jul; 48(7):471-9.TU

Abstract

Ulcerative colitis can be cured by surgical therapy. Indications for surgery are severe disease not controlled by medical therapy, complication of colitis and prophylaxis of malignancy. Operation of choice is proctocolectomy and ileoanal anastomosis with pelvic ileal pouch, preserving continence. Alternatives are colectomy and ileo-recto-anastomosis if the rectum is free of disease and proctocolectomy with ileostomy if the rectum is involved. Crohn's disease cannot be cured by surgery. Indications for surgery are obstructing or perforating complications of enterocolitis. Basis of surgical therapy is resection, which should be restricted to the severely diseased bowel segment. Structureplasty can correct short bowel stenosis without resection. Surgery for anal Crohn's disease should be limited to drainage of septic complications. Postoperative results support a tendency towards early surgery in ulcerative colitis, while surgery in Crohn's disease should be reserved for severe and complicated disease.

Authors+Show Affiliations

Ackermann C
Chirurgische Abteilung, St. Claraspital, Basel.
Tondelli P
No affiliation info available

MeSH

Anastomosis, SurgicalColectomyColitis, UlcerativeCrohn DiseaseHumansIleostomyPostoperative ComplicationsRectumReoperation

Pub Type(s)

English Abstract
Journal Article
Review

Language

ger

PubMed ID

1926007

Citation

Ackermann, C, and P Tondelli. "[Inflammatory Bowel Diseases (Crohn Disease and Ulcerative Colitis). Possibilities and Limitations of Surgical Therapy]." Therapeutische Umschau. Revue Therapeutique, vol. 48, no. 7, 1991, pp. 471-9.
Ackermann C, Tondelli P. [Inflammatory bowel diseases (Crohn disease and ulcerative colitis). Possibilities and limitations of surgical therapy]. Ther Umsch. 1991;48(7):471-9.
Ackermann, C., & Tondelli, P. (1991). [Inflammatory bowel diseases (Crohn disease and ulcerative colitis). Possibilities and limitations of surgical therapy]. Therapeutische Umschau. Revue Therapeutique, 48(7), 471-9.
Ackermann C, Tondelli P. [Inflammatory Bowel Diseases (Crohn Disease and Ulcerative Colitis). Possibilities and Limitations of Surgical Therapy]. Ther Umsch. 1991;48(7):471-9. PubMed PMID: 1926007.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Inflammatory bowel diseases (Crohn disease and ulcerative colitis). Possibilities and limitations of surgical therapy]. AU - Ackermann,C, AU - Tondelli,P, PY - 1991/7/1/pubmed PY - 1991/7/1/medline PY - 1991/7/1/entrez SP - 471 EP - 9 JF - Therapeutische Umschau. Revue therapeutique JO - Ther Umsch VL - 48 IS - 7 N2 - Ulcerative colitis can be cured by surgical therapy. Indications for surgery are severe disease not controlled by medical therapy, complication of colitis and prophylaxis of malignancy. Operation of choice is proctocolectomy and ileoanal anastomosis with pelvic ileal pouch, preserving continence. Alternatives are colectomy and ileo-recto-anastomosis if the rectum is free of disease and proctocolectomy with ileostomy if the rectum is involved. Crohn's disease cannot be cured by surgery. Indications for surgery are obstructing or perforating complications of enterocolitis. Basis of surgical therapy is resection, which should be restricted to the severely diseased bowel segment. Structureplasty can correct short bowel stenosis without resection. Surgery for anal Crohn's disease should be limited to drainage of septic complications. Postoperative results support a tendency towards early surgery in ulcerative colitis, while surgery in Crohn's disease should be reserved for severe and complicated disease. SN - 0040-5930 UR - https://www.unboundmedicine.com/medline/citation/1926007/[Inflammatory_bowel_diseases__Crohn_disease_and_ulcerative_colitis___Possibilities_and_limitations_of_surgical_therapy]_ DB - PRIME DP - Unbound Medicine ER -