Surgery for Crohn's disease: upfront or last resort?

被引：7

作者：

Ali, U. Ahmed ^{[1
]}

Kiran, Ravi P. ^{[1
]}

机构：

[1] New York Presbyterian Columbia Univ, Med Ctr, Div Colorectal Surg, 177 Ft Washington Ave,7th Floor South Knuckle, New York, NY 10032 USA

来源：

GASTROENTEROLOGY REPORT | 2022年 / 10卷

关键词：

surgery; timing; Crohn's disease; outcome; LAPAROSCOPIC ILEOCECAL RESECTION; INFLAMMATORY-BOWEL-DISEASE; QUALITY-OF-LIFE; INTESTINAL RESECTION; TERMINAL ILEITIS; REMISSION RATES; THERAPY; INFLIXIMAB; MANAGEMENT; TRIAL;

D O I：

10.1093/gastro/goac063

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Crohn's disease (CD) can involve the entire gastrointestinal tract from the mouth to the anus and can lead to a constellation of symptoms. With the advancement of effective medical treatments for CD, a tendency has emerged to consider surgical treatment as a last resort. This potentially has the disadvantage of delaying surgery and if it fails might leave patients sicker, less well nourished, and with more severe complications. As with most non-malignant diseases, the choice of surgery vs medical treatment is a patient's personal preference under the guidance of the treating physician, except in extreme situations where surgery might be the only option. In this article, we will discuss the available evidence regarding the optimal timing of surgery in CD, focusing on whether early surgery can bring benefits in terms of disease control, symptom relief, and quality of life.

引用

页数：7

共 58 条

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