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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
8
|
| pubmed:dateCreated |
1995-10-3
|
| pubmed:abstractText |
This study reviewed a series of patients with Crohn's disease managed by surgeons of the Department of Colon and Rectal Surgery, St Vincent's Hospital, Melbourne, since 1978. There were 306 patients: 171 males and 135 females. The mean age at diagnosis was 33.4 years (ranger 11-93). The distribution of the disease was small bowel 32.3%, small bowel and colon 26.5%, colon 39.9%, and anal disease alone 1.6%. A total of 416 abdominal operations were performed on 204 patients. The commonest indications for surgery were failed medical therapy (21.9%), small bowel obstruction (15.9%), enteric fistula (10.1%), and intra-abdominal abscess (10.1%). The most frequently performed procedures were ileocolic resection with anastomosis (28.8%), small bowel resection (9.4%), and total colectomy and ileostomy (7.0%). Postoperative complications included anastomotic leaks in 4.0%, intra-abdominal abscess formation in 3.6%, and enterocutaneous fistulae developed in 6%. Three patients died during the review period. During follow up (mean 84.4), 30% of patients developed recurrence requiring further surgery at a mean of 72.7 months postoperatively. The most frequent site for a recurrence was the pre-anastomotic terminal ileum (61.7%). In conclusion, the majority of patients with Crohn's disease will require resectional surgery at some stage. This can be performed with a low mortality and morbidity, and a recurrence rate of around 5% per year.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Aug
|
| pubmed:issn |
0004-8682
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
65
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
570-5
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:7661797-Adolescent,
pubmed-meshheading:7661797-Adult,
pubmed-meshheading:7661797-Aged,
pubmed-meshheading:7661797-Aged, 80 and over,
pubmed-meshheading:7661797-Anastomosis, Surgical,
pubmed-meshheading:7661797-Child,
pubmed-meshheading:7661797-Colectomy,
pubmed-meshheading:7661797-Colitis,
pubmed-meshheading:7661797-Crohn Disease,
pubmed-meshheading:7661797-Female,
pubmed-meshheading:7661797-Humans,
pubmed-meshheading:7661797-Ileitis,
pubmed-meshheading:7661797-Ileostomy,
pubmed-meshheading:7661797-Male,
pubmed-meshheading:7661797-Middle Aged,
pubmed-meshheading:7661797-Morbidity,
pubmed-meshheading:7661797-Postoperative Complications,
pubmed-meshheading:7661797-Queensland,
pubmed-meshheading:7661797-Recurrence,
pubmed-meshheading:7661797-Reoperation,
pubmed-meshheading:7661797-Retrospective Studies
|
| pubmed:year |
1995
|
| pubmed:articleTitle |
Crohn's disease: a colon and rectal department experience.
|
| pubmed:affiliation |
Department of Colon and Rectal Surgery, St Vincent's Hospital, Fitzroy, Victoria, Australia.
|
| pubmed:publicationType |
Journal Article
|