| Theme |
Surgical therapy for Crohn's disease -- Essentials for physician |
| Title |
Indication for surgical treatment in Crohn's disease from surgeon's view |
| Author |
Toshimitsu Araki |
Mie University Graduate School of Medicine, Gastrointestinal and Pediatric Surgery |
| Author |
Shigeyuki Yoshiyama |
Mie University Graduate School of Medicine, Gastrointestinal and Pediatric Surgery |
| Author |
Yoshiki Okita |
Mie University Graduate School of Medicine, Gastrointestinal and Pediatric Surgery |
| Author |
Keiichi Uchida |
Mie University Graduate School of Medicine, Gastrointestinal and Pediatric Surgery |
| Author |
Chikao Miki |
Mie University Graduate School of Medicine, Gastrointestinal and Pediatric Surgery |
| Author |
Masato Kusunoki |
Mie University Graduate School of Medicine, Gastrointestinal and Pediatric Surgery |
| [ Summary ] |
Surgical treatment for Crohn's disease (CD) is chosen depending on the extent and severity of the disease and response to medical therapy. These indications are based on presence of particular symptoms. However, surgery is not a curative option for CD as the disease often recurs in the remaining part of the bowel, and most of patients will require further operations. The indications for surgery are complicated by the wide range of medical advances which have become available in this field in recent years. Treatment strategies are formulated by understanding the natural course of the disease and the advantages of medical or surgical treatments. It must be determined which options are more likely to lead to improved patient outcomes. |