| Theme | The frontline of Crohn's disease treatment | |
|---|---|---|
| Title | Surgical treatment for Crohn's disease | |
| Publish Date | 2016/03 | |
| Author | Toru Kono | Advanced Surgery Center, Sapporo Higashi Tokushukai Hospital / Department of Surgery, Sapporo Higashi Tokushukai Hospital |
| Author | Taku Maejima | Department of Surgery, Sapporo Higashi Tokushukai Hospital |
| Author | Shoji Kasai | Department of Surgery, Sapporo Higashi Tokushukai Hospital |
| Author | Nobutaka Mukai | Department of Surgery, Sapporo Higashi Tokushukai Hospital |
| Author | Susumu Fukahori | Department of Surgery, Sapporo Higashi Tokushukai Hospital |
| Author | Daitaro Yoshikawa | Department of Surgery, Sapporo Higashi Tokushukai Hospital |
| Author | Liming Wang | Department of Surgery, Sapporo Higashi Tokushukai Hospital |
| Author | Hidenori Karasaki | Department of Surgery, Sapporo Higashi Tokushukai Hospital |
| Author | Shigeru Furukawa | Inflammatory Bowel Disease Center, Sapporo Higashi Tokushukai Hospital |
| Author | Atsuo Maemoto | Inflammatory Bowel Disease Center, Sapporo Higashi Tokushukai Hospital |
| [ Summary ] | Approximately, 70 % of Crohn's disease (CD) patients undergo enterectomy or other surgical interventions within 10 years of diagnosis. There is high rates of anastomotic stenosis recurrence after surgery, requiring repeat intervention, although medical management has evolved greatly over the last decade and anti-TNF antibodies play an important role in CD treatment, surgery for CD is not definitively curative and is often seen as the last resort measure in the treatment of CD : available surgical techniques, how to select a surgical procedure in order to avoid unnecessary resection of intestine, and how to avoid common pitfalls. However, once the need for surgical intervention has been established, surgical strategy will vary depending on the intestinal segment affected by CD. This chapter also shows the fundamental differences between the Kono-S and other anastomotic techniques, an important aspect for long-term management in preventing progression or recurrence of disease. | |