Skip to main content

Advertisement

SpringerLink
Log in

Practice Parameters for the Surgical Management of Crohn’s Disease

  • Practice Parameters
  • Published:
Diseases of the Colon & Rectum

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

References

  1. Gasche C, Scholmerich J, Brynskov J, et al. A simple classification of Crohn’s disease: report of the Working Party for the World Congresses of Gastroenterology Vienna 1998. Inflamm Bowel Dis 2000;6:8–15.

    Article  PubMed  CAS  Google Scholar 

  2. Whiteford M, Kilkenny J, Hyman N, et al. Practice parameter for the treatment of perianal abscess and fistula-in-ano. Dis Colon Rectum 2005;48:1337-2.

    Article  PubMed  Google Scholar 

  3. Hanauer SB, Sandborn W. Practice Parameters Committee of the American College of Gastroenterology. Management of Crohn’s disease in adults. Am J Gastroenterol 2001;96:635-3.

    Article  PubMed  CAS  Google Scholar 

  4. Michetti P, Mottet C, Juillerat P, et al. Severe and steroid-resistant Crohn’s disease. Digestion 2005;71:19–25.

    Article  PubMed  Google Scholar 

  5. Summers RW, Switz DM, Sessions JT Jr, et al. National Cooperative Crohn’s Disease Study: results of drug treatment. Gastroenterology 1979;77:847-9.

    PubMed  CAS  Google Scholar 

  6. Malchow H, Ewe K, Brandes JW, et al. European Cooperative Crohn’s Disease Study (ECCDS): results of drug treatment. Gastroenterology 1984;86:249-6.

    PubMed  CAS  Google Scholar 

  7. Munkholm P, Langholz E, Davidsen M, Binder V. Frequency of glucocorticoid resistance and dependency in Crohn’s disease. Gut 1994;35:360-.

    Article  PubMed  CAS  Google Scholar 

  8. Travis SP, Stange EF, Lemann M, et al. European Crohn’s and Colitis Organisation. European evidence-based consensus on the diagnosis and management of Crohn’s disease: current management. Gut 2006;55(Suppl 1):i16-5.

    Article  PubMed  Google Scholar 

  9. Bemelman WA, Ivenski M, van Hogezand RA, Hermans J, Veenendaal RA, Griffioen G. How effective is extensive nonsurgical treatment of patients with clinically active Crohn’s disease of the terminal ileum in preventing surgery? Dig Surg 2001;18:56–60.

    Article  PubMed  CAS  Google Scholar 

  10. Bundred NJ, Dixon JM, Lumsden AB, Gilmour HM, Davies GC. Free perforation in Crohn’s colitis. A ten-year review. Dis Colon Rectum 1985;28:35-.

    Article  PubMed  CAS  Google Scholar 

  11. Greenstein AJ, Sachar DB, Mann D, Lachman P, Heimann T, Aufses AH Jr. Spontaneous free perforation and perforated abscess in 30 patients with Crohn’s disease. Ann Surg 1987;205:72-.

    Article  PubMed  CAS  Google Scholar 

  12. Freeman HJ. Spontaneous free perforation of the small intestine in Crohn’s disease. Can J Gastroenterol 2002;16:23-.

    PubMed  Google Scholar 

  13. Ikeuchi H, Yamamura T. Free perforation in Crohn’s disease: review of the Japanese literature. J Gastroenterol 2002;37:1020-.

    Article  PubMed  Google Scholar 

  14. Veroux M, Angriman I, Ruffolo C, et al. A rare surgical complication of Crohn’s diseases: free peritoneal perforation. Minerva Chir 2003;58:351-.

    PubMed  CAS  Google Scholar 

  15. Werbin N, Hadad R, Greenberg R, Karin E, Skornick Y. Free perforation in Crohn’s disease. Isr Med J 2003;5:175-.

    Google Scholar 

  16. Greenstein AJ, Mann D, Sachar DB, Aufses AH Jr. Free perforation in Crohn’s disease: I. A survey of 99 cases. Am J Gastroenterol 1985;80:682-.

    PubMed  CAS  Google Scholar 

  17. Katz S, Schulman N, Levin L. Free perforation in Crohn’s disease: a report of 33 cases and review of literature. Am J Gastroenterol 1986;81:38–43.

    PubMed  CAS  Google Scholar 

  18. Tomaszczyk M, Zwemer DA. Spontaneous free perforation of the distal ileum in Crohn’s disease: case study. Int Surg 2005;90(3 Suppl):S45-.

    PubMed  Google Scholar 

  19. Lambiase RE, Cronan JJ, Dorfman GS, Paolella LP, Haas RA. Percutaneous drainage of abscesses in patients with Crohn disease. AJR Am J Roentgenol 1988;150:1043-.

    PubMed  CAS  Google Scholar 

  20. Gervais DA, Hahn PF, O’Neill MJ, Mueller PR. Percutaneous abscess drainage in Crohn disease: technical success and short- and long-term outcomes during 14 years. Radiology 2002;222:645-1.

    Article  PubMed  Google Scholar 

  21. Golfieri R, Cappelli A, Giampalma E, et al. CT-guided percutaneous pelvic abscess drainage in Crohn’s disease. Tech Coloproctol 2006;10:99–105.

    Article  PubMed  CAS  Google Scholar 

  22. Gutierrez A, Lee H, Sands BE. Outcome of surgical versus percutaneous drainage of abdominal and pelvic abscesses in Crohn’s disease. Am J Gastroenterol 2006;101:2283-.

    Article  PubMed  Google Scholar 

  23. Sahai A, Belair M, Gianfelice D, Cote S, Gratton J, Lahaie R. Percutaneous drainage of intra-abdominal abscesses in Crohn’s disease: short and long-term outcome. Am J Gastroenterol 1997;92:275-.

    PubMed  CAS  Google Scholar 

  24. Jawhari A, Kamm MA, Ong C, Forbes A, Bartram CI, Hawley PR. Intra-abdominal and pelvic abscess in Crohn’s disease: results of noninvasive and surgical management. Br J Surg 1998;85:367-1.

    Article  PubMed  CAS  Google Scholar 

  25. Garcia JC, Persky SE, Bonis PA, Topazian M. Abscesses in Crohn’s disease: outcome of medical versus surgical treatment. J Clin Gastroenterol 2001;32:409-2.

    Article  PubMed  CAS  Google Scholar 

  26. Ayuk P, Williams N, Scott NA, Nicholson DA, Irving MH. Management of intra-abdominal abscesses in Crohn’s disease. Ann R Coll Surg Engl 1996;78:5–10.

    PubMed  CAS  Google Scholar 

  27. Maconi G, Sampietro GM, Parente F, et al. Contrast radiology, computed tomography and ultrasonography in detecting internal fistulas and intra-abdominal abscesses in Crohn’s disease: a prospective comparative study. Am J Gastroenterol 2003;98:1545-5.

    Article  PubMed  Google Scholar 

  28. Poritz LS, Gagliano GA, McLeod RS, MacRae H, Cohen Z. Surgical management of entero and colocutaneous fistulae in Crohn’s disease: 17 year’s experience. Int J Colorectal Dis 2004;19:481-.

    Article  PubMed  Google Scholar 

  29. Michelassi F, Stella M, Balestracci T, Giuliante F, Marogna P, Block GE. Incidence, diagnosis, and treatment of enteric and colorectal fistulae in patients with Crohn’s disease. Ann Surg 1993;218:660-.

    Article  PubMed  CAS  Google Scholar 

  30. Saint-Marc O, Vaillant JC, Frileux P, Balladur P, Tiret E, Parc R. Surgical management of ileosigmoid fistulas in Crohn’s disease: role of preoperative colonoscopy. Dis Colon Rectum 1995;38:1084-.

    Article  PubMed  CAS  Google Scholar 

  31. Saint-Marc O, Tiret E, Vaillant JC, Frileux P, Parc R. Surgical management of internal fistulas in Crohn’s disease. J Am Coll Surg 1996;183:97–100.

    PubMed  CAS  Google Scholar 

  32. Young-Fadok TM, Wolff BG, Meagher A, Benn PL, Dozois RR. Surgical management of ileosigmoid fistulas in Crohn’s disease. Dis Colon Rectum 1997;40:558-1.

    Article  PubMed  CAS  Google Scholar 

  33. Ikeuchi H, Shoji Y, Yamamura T. Management of fistulas in Crohn’s disease. Dig Surg 2002;19:36-.

    Article  PubMed  Google Scholar 

  34. Gruner JS, Sehon JK, Johnson LW. Diagnosis and management of enterovesical fistulas in patients with Crohn’s disease. Am Surg 2002;68:714-.

    PubMed  Google Scholar 

  35. Glass RE, Ritchie JK, Lennard-Jones JE, Hawley PR, Todd IP. Internal fistulas in Crohn’s disease. Dis Colon Rectum 1985;28:557-1.

    Article  PubMed  CAS  Google Scholar 

  36. Gorcey S, Katzka I. Is operation always necessary for enterovesical fistulas in Crohn’s disease? J Clin Gastroenterol 1989;11:396-.

    Article  PubMed  CAS  Google Scholar 

  37. Levy C, Tremaine WJ. Management of internal fistulas in Crohn’s disease. Inflamm Bowel Dis 2002;8:106-1.

    Article  PubMed  Google Scholar 

  38. Brihier H, Nion-Larmurier I, Afchain P, et al. Intestinal perforation in Crohn’s disease. Factors predictive of surgical resection. Gastroenterol Clin Biol 2005;29:1105-1.

    Article  PubMed  Google Scholar 

  39. Louis E, Collard A, Oger AF, Degroote E, Aboul Nasr El Yafi FA, Belaiche J. Behaviour of Crohn’s disease according to the Vienna classification: changing pattern over the course of the disease. Gut 2001;49:777-2.

    Article  PubMed  CAS  Google Scholar 

  40. Freeman HJ. Natural history and clinical behavior of Crohn’s disease extending beyond two decades. J Clin Gastroenterol 2003;37:216-.

    Article  PubMed  Google Scholar 

  41. Bernstein CN, Greenberg H, Boult I, Chubey S, Leblanc C, Ryner L. A prospective comparison study of MRI versus small bowel follow-through in recurrent Crohn’s disease. Am J Gastroenterol 2005;100:2493-02.

    Article  PubMed  Google Scholar 

  42. Bodily KD, Fletcher JG, Solem CA, et al. Crohn disease: mural attenuation and thickness at contrast-enhanced CT enterography: correlation with endoscopic and histologic findings of inflammation. Radiology 2006;238:505-6.

    Article  PubMed  Google Scholar 

  43. Colombel JF, Solem CA, Sandborn WJ, et al. Quantitative measurement and visual assessment of ileal Crohn’s disease activity by computed tomography enterography: correlation with endoscopic severity and C reactive protein. Gut 2006;55:1561-.

    Article  PubMed  CAS  Google Scholar 

  44. Booya F, Fletcher JG, Huprich JE, et al. Active Crohn disease: CT findings and interobserver agreement for enteric phase CT enterography. Radiology 2006;241:787-5.

    Article  PubMed  Google Scholar 

  45. Yamazaki Y, Ribeiro MB, Sachar DB, Aufes AH Jr, Greenstein AJ. Malignant colorectal strictures in Crohn’s disease. Am J Gastroenterol 1991;86:882-.

    PubMed  CAS  Google Scholar 

  46. Truelove SC, Witts LF. Cortisone in ulcerative colitis: Final report on a therapeutic trial. BMJ 1955;2:1041-.

    Article  PubMed  CAS  Google Scholar 

  47. Hanauer SB. Drug therapy: inflammatory bowel disease. N Engl J Med 1996;334:841-.

    Article  PubMed  CAS  Google Scholar 

  48. Grieco MB, Bordan DL, Geiss AC, Beil AR Jr. Toxic megacolon complicating Crohn’s colitis. Ann Surg 1980;191:75–80.

    Article  PubMed  CAS  Google Scholar 

  49. Katz JA. Medical and surgical management of severe colitis. Sem Gastroenterol Dis 2000;11:18–32.

    CAS  Google Scholar 

  50. Strong SA. Fulminant colitis: the case for operative treatment. Inflamm Bowel Dis 2002;8:135-.

    Article  PubMed  Google Scholar 

  51. Ausch C, Madoff RD, Gnant M, et al. Aetiology and surgical management of toxic megacolon. Colorectal Dis 2006;8:195–201.

    Article  PubMed  CAS  Google Scholar 

  52. Jones JH, Chapman M. Definition of megacolon in colitis. Gut 1969;10:562-.

    Article  PubMed  CAS  Google Scholar 

  53. Latella G, Viscido A, Frieri G, et al. GI distension in severe ulcerative colitis. Am J Gastroenterol 2002;97:1169-5.

    Article  PubMed  Google Scholar 

  54. Greenstein AJ, Sachar DB, Gibas A, et al. Outcome of toxic dilatation in ulcerative and Crohn’s colitis. J Clin Gastroenterol 1985;7:137-3.

    Article  PubMed  CAS  Google Scholar 

  55. Heppell J, Farouk E, Dube S, Peloquin A, Morgan S, Bernard D. Toxic megacolon. An analysis of 70 cases. Dis Colon Rectum 1986;29:789-2.

    Article  PubMed  CAS  Google Scholar 

  56. St Peter SD, Abbas MA, Kelly KA. The spectrum of pneumatosis intestinalis. Arch Surg 2003;138:68–75.

    Article  PubMed  Google Scholar 

  57. Berg DF, Bahadusingh AM, Kaminski DL, Longo WE. Acute surgical emergencies in inflammatory bowel disease. Am J Surg 2002;184:45–51.

    Article  PubMed  Google Scholar 

  58. Belaiche J, Louis E, D’Haens G, et al. Acute lower gastrointestinal bleeding in Crohn’s disease: characteristics of a unique series of 34 patients. Belgian IBD Research Group. Am J Gastroenterol 1999;94:2177-1.

    Article  PubMed  CAS  Google Scholar 

  59. Egawa T, Kuroda T, Ogawa H, et al. A case of Crohn’s disease with recurrent massive life-threatening hemorrhage from terminal ileum. Hepatogastroenterology 1999;46:1695-.

    PubMed  CAS  Google Scholar 

  60. Veroux M, Angriman I, Ruffolo C, et al. Severe gastrointestinal bleeding in Crohn’s disease. Ann Ital Chir 2003;74:213-.

    PubMed  CAS  Google Scholar 

  61. Kostka R, Lukas M. Massive, life-threatening bleeding in Crohn’s disease. Acta Chir Belg 2005;105:168-4.

    PubMed  CAS  Google Scholar 

  62. Cirocco WC, Reilly JC, Rusin LC. Life-threatening hemorrhage and exsanguination from Crohn’s disease. Report of four cases. Dis Colon Rectum 1995;38:85–95.

    Article  PubMed  CAS  Google Scholar 

  63. Robert JR, Sachar DB, Greenstein AJ. Severe gastrointestinal hemorrhage in Crohn’s disease. Ann Surg 1991;213:207-1.

    Article  PubMed  CAS  Google Scholar 

  64. Driver CP, Anderson DN, Keenan RA. Massive intestinal bleeding in association with Crohn’s disease. J R Coll Surg Edinb 1996;41:152-.

    PubMed  CAS  Google Scholar 

  65. Winawer S, Fletcher R, Rex D, et al. For the U.S. Multisociety Task Force on Colorectal Cancer. Colorectal cancer screening and surveillance: clinical guidelines and rationale - update based on new evidence. Gastroenterology 2003;124:544-0.

    Article  PubMed  Google Scholar 

  66. Maykel JA, Hagerman G, Mellgren AF, et al. Crohn’s colitis: the incidence of dysplasia and adenocarcinoma in surgical patients. Dis Colon Rectum 2006;49:950-.

    Article  PubMed  Google Scholar 

  67. Itzkowitz SH, Harpaz N. Diagnosis and management of dysplasia in patients with inflammatory bowel diseases. Gastroenterology 2004;126:1634-8.

    Google Scholar 

  68. Friedman S, Rubin PH, Bodian C, Goldstein E, Harpaz N, Present DH. Screening and surveillance colonoscopy in chronic Crohn’s colitis. Gastroenterology 2001;120:820-.

    Article  PubMed  CAS  Google Scholar 

  69. Itzkowitz SH, Present DH. Crohn’s and Colitis Foundation of America Colon Cancer in IBD Study Group. Consensus conference: Colorectal cancer screening and surveillance in inflammatory bowel disease. Inflamm Bowel Dis 2005;11:314-1.

    Article  PubMed  Google Scholar 

  70. Jess T, Loftus EV Jr, Velayos FS, et al. Incidence and prognosis of colorectal dysplasia in inflammatory bowel disease: a population-based study from Olmsted County, Minnesota. Inflamm Bowel Dis 2006;12:669-6.

    Article  PubMed  Google Scholar 

  71. Rubin PH, Friedman S, Harpaz N, et al. Colonoscopic polypectomy in chronic colitis: conservative management after endoscopic resection of dysplastic polyps. Gastroenterology 1999;117:1295-00.

    Article  PubMed  CAS  Google Scholar 

  72. Marchetti F, Fazio VW, Ozuner G. Adenocarcinoma arising from a strictureplasty site in Crohn’s disease. Report of a case. Dis Colon Rectum 1996;39:1315-1.

    Article  PubMed  CAS  Google Scholar 

  73. Yamamoto T, Bain IM, Allan RN, Keighley MR. An audit of strictureplasty for small-bowel Crohn’s disease. Dis Colon Rectum 1999;42:797–803.

    Article  PubMed  CAS  Google Scholar 

  74. Jaskowiak NT, Michelassi F. Adenocarcinoma at a strictureplasty site in Crohn’s disease: report of a case. Dis Colon Rectum 2001;44:284-.

    Article  PubMed  CAS  Google Scholar 

  75. Partridge SK, Hodin RA. Small bowel adenocarcinoma at a strictureplasty site in a patient with Crohn’s disease: report of a case. Dis Colon Rectum 2004;47:778-1.

    Article  PubMed  Google Scholar 

  76. Motil KJ, Grand RJ, Davis-Kraft L, Ferlic LL, Smith EO. Growth failure in children with inflammatory bowel disease: a prospective study. Gastroenterology 1993;105:681-1.

    PubMed  CAS  Google Scholar 

  77. Savage MO, Beattie RM, Camacho-Hubner C, Walker-Smith JA, Sanderson IR. Growth in Crohn’s disease. Acta Paediatr Suppl 1999;88:89–92.

    Article  PubMed  CAS  Google Scholar 

  78. McLain BI, Davidson PM, Stokes KB, Beasley SW. Growth after gut resection for Crohn’s disease. Arch Dis Child 1991;66:370.

    Google Scholar 

  79. Newby EA, Sawczenko A, Thomas AG, Wilson D. Interventions for growth failure in childhood Crohn’s disease. Cochrane Database Syst Rev 2005:CD003873.

  80. Lipson AB, Savage MO, Davies PS, Bassett K, Shand WS, Walker-Smith JA. Acceleration of linear growth following intestinal resection for Crohn disease. Eur J Pediatr 1990;149:687-0.

    Article  PubMed  CAS  Google Scholar 

  81. El-Baba M, Lin CH, Klein M, Tolia V. Outcome after surgical intervention in children with chronic inflammatory bowel disease. Am Surg 1996;62:1014-.

    PubMed  CAS  Google Scholar 

  82. Besnard M, Jaby O, Mougenot JF, et al. Postoperative outcome of Crohn’s disease in 30 children. Gut 1998;43:634-.

    Article  PubMed  CAS  Google Scholar 

  83. Sentongo TA, Stettler N, Christian A, Han PD, Stallings VA, Baldassano RN. Growth after intestinal resection for Crohn’s disease in children, adolescents, and young adults. Inflamm Bowel Dis 2000;6:265-.

    Article  PubMed  CAS  Google Scholar 

  84. Dokucu AI, Sarnacki S, Michel JL, et al. Indications and results of surgery in patients with Crohn’s disease with onset under 10 years of age: a series of 18 patients. Eur J Pediatr Surg 2002;12:180-.

    Article  PubMed  CAS  Google Scholar 

  85. Van Bodegraven AA, Pena AS. Treatment of extraintestinal manifestations in inflammatory bowel disease. Curr Treat Options Gastroenterol 2003;6:201-2.

    Article  PubMed  Google Scholar 

  86. Juillerat P, Mottet C, Froehlich F, et al. Extraintestinal manifestations of Crohn’s disease. Digestion 2005;71:31-.

    Article  PubMed  Google Scholar 

  87. Caprilli R, Gassull MA, Escher JC, et al. European Crohn’s and Colitis Organisation. European evidence based consensus on the diagnosis and management of Crohn’s disease: special situations. Gut 2006;55(Suppl 1):i36-8.

    Article  PubMed  Google Scholar 

  88. Tilney HS, Constantinides VA, Heriot AG, et al. Comparison of laparoscopic and open ileocecal resection for Crohn’s disease: a meta-analysis. Surg Endosc 2006;20:1036-4.

    Article  PubMed  CAS  Google Scholar 

  89. Fazio VW, Marchetti F, Church M, et al. Effect of resection margins on the recurrence of Crohn’s disease in the small bowel. A randomized controlled trial. Ann Surg 1996;224:563-1.

    Article  PubMed  CAS  Google Scholar 

  90. Hashemi M, Novell JR, Lewis AA. Side-to-side stapled anastomosis may delay recurrence in Crohn’s disease. Dis Colon Rectum 1998;41:1293-.

    Article  PubMed  CAS  Google Scholar 

  91. Yamamoto T, Bain IM, Mylonakis E, Allan RN, Keighley MR. Stapled functional end-to-end anastomosis versus sutured end-to-end anastomosis after ileocolonic resection in Crohn disease. Scand J Gastroenterol 1999;34:708-3.

    Article  PubMed  CAS  Google Scholar 

  92. Resegotti A, Astegiano M, Farina EC, et al. Side-to-side stapled anastomosis strongly reduces anastomotic leak rates in Crohn’s disease surgery. Dis Colon Rectum 2005;48:464-.

    Article  PubMed  Google Scholar 

  93. Ikeuchi H, Kusunoki M, Yamamura T. Long–term results of stapled and hand-sewn anastomoses in patients with Crohn’s disease. Dig Surg 2000;17:493-.

    Article  PubMed  CAS  Google Scholar 

  94. Munoz-Juarez M, Yamamoto T, Wolff BG, Keighley MR. Wide-lumen stapled anastomosis vs. conventional end-to-end anastomosis in the treatment of Crohn’s disease. Dis Colon Rectum 2001;44:20-.

    Article  PubMed  CAS  Google Scholar 

  95. Tersigni R, Alessandroni L, Barreca M, Piovanello P, Prantera C. Does stapled functional end-to-end anastomosis affect recurrence of Crohn’s disease after ileocolonic resection? Hepatogastroenterology 2003;50:1422-.

    PubMed  Google Scholar 

  96. Scarpa M, Angriman I, Barollo M, et al. Role of stapled and hand-sewn anastomoses in recurrence of Crohn’s disease. Hepatogastroenterology 2004;51:1053-.

    PubMed  Google Scholar 

  97. Homan WP, Dineen P. Comparison of the results of resection, bypass, and bypass with exclusion for ileocecal Crohn’s disease. Ann Surg 1978;187:530-.

    Article  PubMed  CAS  Google Scholar 

  98. Greenstein AJ, Sachar D, Pucillo A, et al. Cancer in Crohn’s disease after diversionary surgery. A report of seven carcinomas occurring in excluded bowel. Am J Surg 1978;135:86–90.

    Article  PubMed  CAS  Google Scholar 

  99. Post S, Betzler M, von Ditfurth B, Schurmann G, Kuppers P, Herfarth C. Risks of intestinal anastomoses in Crohn’s disease. Ann Surg 1991;213:37–42.

    Article  PubMed  CAS  Google Scholar 

  100. Simi M, Leardi S, Minervini S, Pietroletti R, Schietroma M, Speranza V. Early complications after surgery for Crohn’s disease. Neth J Surg 1990;42:105-.

    PubMed  CAS  Google Scholar 

  101. Yamamoto T, Allan RN, Keighley MR. Risk factors for intra-abdominal sepsis after surgery in Crohn’s disease. Dis Colon Rectum 2000;43:1141-.

    Article  PubMed  CAS  Google Scholar 

  102. Bruewer M, Utech M, Rijcken EJ, et al. Preoperative steroid administration: effect on morbidity among patients undergoing intestinal bowel resection for Crohn’s disease. World J Surg 2003;27:1306-0.

    Article  PubMed  Google Scholar 

  103. Tay GS, Binion DG, Eastwood D, Otterson MF. Multivariate analysis suggests improved perioperative outcome in Crohn’s disease patients receiving immunomodulator therapy after segmental resection and/or strictureplasty. Surgery 2003;134:565-2.

    Article  PubMed  Google Scholar 

  104. Colombel JF, Loftus EV Jr, Tremaine WJ, et al. Early postoperative complications are not increased in patients with Crohn’s disease treated perioperatively with infliximab or immunosuppressive therapy. Am J Gastroenterol 2004;99:878-3.

    Article  PubMed  CAS  Google Scholar 

  105. Lee EC, Papaioannou N. Minimal surgery for chronic obstruction in patients with extensive or universal Crohn’s disease. Ann R Coll Surg Engl 1982;64:229-3.

    PubMed  CAS  Google Scholar 

  106. Fazio VW, Galandiuk S. Strictureplasty in diffuse Crohn’s jejunoileitis. Dis Colon Rectum 1985;28:512-.

    Article  PubMed  CAS  Google Scholar 

  107. Sasaki I, Funayama Y, Naito H, Fukushima K, Shibata C, Matsuno S. Extended strictureplasty for multiple short skipped strictures of Crohn’s disease. Dis Colon Rectum 1996;39:342-.

    Article  PubMed  CAS  Google Scholar 

  108. Michelassi F. Side-to-side isoperistaltic strictureplasty for multiple Crohn’s strictures. Dis Colon Rectum 1996;39:345-.

    Article  PubMed  CAS  Google Scholar 

  109. Poggioli G, Stocchi L, Laureti S, et al. Conservative surgical management of terminal ileitis: side-to-side enterocolic anastomosis. Dis Colon Rectum 1997;40:234-.

    Article  PubMed  CAS  Google Scholar 

  110. Sasaki I, Shibata C, Funayama Y, et al. New reconstructive procedure after intestinal resection for Crohn’s disease: modified side-to-side isoperistaltic anastomosis with double Heineke-Mikulicz procedure. Dis Colon Rectum 2004;47:940-.

    Article  PubMed  Google Scholar 

  111. Poggioli G, Laureti S, Pierangeli F, Ugolini F. A new model of strictureplasty for multiple and long stenoses in Crohn’s ileitis: side-to-side diseased to disease-free anastomosis. Dis Colon Rectum 2003;46:127-0.

    Article  PubMed  CAS  Google Scholar 

  112. Sampietro GM, Cristaldi M, Maconi G, et al. A prospective, longitudinal study of nonconventional strictureplasty in Crohn’s disease. J Am Coll Surg 2004;199:8–20.

    Article  PubMed  Google Scholar 

  113. Broering DC, Eisenberger CF, Koch A, Bloechle C, Knoefel WT, Izbicki JR. Quality of life after surgical therapy of small bowel stenosis in Crohn’s disease. Dig Surg 2001;18:124-0.

    Article  PubMed  CAS  Google Scholar 

  114. Borley NR, Mortensen NJ, Chaudry MA, et al. Recurrence after abdominal surgery for Crohn’s disease: relationship to disease site and surgical procedure. Dis Colon Rectum 2002;45:377-3.

    Article  PubMed  Google Scholar 

  115. Sharif H, Alexander-Williams J. Strictureplasty for ileo-colic anastomotic strictures in Crohn’s disease. Int J Colorectal Dis 1991;6:214-.

    Article  PubMed  CAS  Google Scholar 

  116. Tjandra JJ, Fazio VW. Strictureplasty for ileocolic anastomotic strictures in Crohn’s disease. Dis Colon Rectum 1993;36:1099-03.

    Article  PubMed  CAS  Google Scholar 

  117. Yamamoto T, Keighley MR. Long-term results of strictureplasty for ileocolonic anastomotic recurrence in Crohn’s disease. J Gastrointest Surg 1999;3:555-0.

    Article  PubMed  CAS  Google Scholar 

  118. Murray JJ, Schoetz DJ Jr, Nugent FW, Coller JA, Veidenheimer MC. Surgical management of Crohn’s disease involving the duodenum. Am J Surg 1984;147:58–65.

    Article  PubMed  CAS  Google Scholar 

  119. Poggioli G, Stocchi L, Laureti S, et al. Duodenal involvement of Crohn’s disease: three different clinicopathologic patterns. Dis Colon Rectum 1997;40:179-3.

    Article  PubMed  CAS  Google Scholar 

  120. Takesue Y, Yokoyama T, Akagi S, et al. Strictureplasty for short duodenal stenosis in Crohn’s disease. J Gastroenterol 2000;35:929-2.

    Article  PubMed  CAS  Google Scholar 

  121. Worsey MJ, Hull T, Ryland L, Fazio V. Strictureplasty is an effective option in the operative management of duodenal Crohn’s disease. Dis Colon Rectum 1999;42:596–600.

    Article  PubMed  CAS  Google Scholar 

  122. Yamamoto T, Allan RN, Keighley MR. An audit of gastroduodenal Crohn disease: clinicopathologic features and management. Scand J Gastroenterol 1999;34:1019-4.

    Article  PubMed  CAS  Google Scholar 

  123. Brooker JC, Beckett CG, Saunders BP, Benson MJ. Long-acting steroid injection after endoscopic dilation of anastomotic Crohn’s strictures may improve the outcome: a retrospective case series. Endoscopy 2003;35:333-.

    Article  PubMed  CAS  Google Scholar 

  124. Williams AJ, Palmer KR. Endoscopic balloon dilatation as a therapeutic option in the management of intestinal strictures resulting from Crohn’s disease. Br J Surg 1991;78:453-.

    Article  PubMed  CAS  Google Scholar 

  125. Blomberg B, Rolny P, Jarnerot G. Endoscopic treatment of anastomotic strictures in Crohn’s disease. Endoscopy 1991;23:195-.

    Article  PubMed  CAS  Google Scholar 

  126. Breysem Y, Janssens JF, Coremans G, Vantrappen G, Hendrickx G, Rutgeerts P. Endoscopic balloon dilation of colonic and ileo-colonic Crohn’s strictures: long-term results. Gastrointest Endosc 1992;38:142-.

    Article  PubMed  CAS  Google Scholar 

  127. Couckuyt H, Gevers AM, Coremans G, Hiele M, Rutgeerts P. Efficacy and safety of hydrostatic balloon dilatation of ileocolonic Crohn’s strictures: a prospective longterm analysis. Gut 1995;36:577-0.

    Article  PubMed  CAS  Google Scholar 

  128. Matsui T, Hatakeyama S, Ikeda K, Yao T, Takenaka K, Sakurai T. Long-term outcome of endoscopic balloon dilation in obstructive gastroduodenal Crohn’s disease. Endoscopy 1997;29:640-.

    Article  PubMed  CAS  Google Scholar 

  129. Dear KL, Hunter JO. Colonoscopic hydrostatic balloon dilatation of Crohn’s strictures. J Clin Gastroenterol 2001;33:315-.

    Article  PubMed  CAS  Google Scholar 

  130. Thomas-Gibson S, Brooker JC, Hayward CM, Shah SG, Williams CB, Saunders BP. Colonoscopic balloon dilation of Crohn’s strictures: a review of long-term outcomes. Eur J Gastroenterol Hepatol 2003;15:485-.

    Article  PubMed  Google Scholar 

  131. Sabate JM, Villarejo J, Bouhnik Y, et al. Hydrostatic balloon dilatation of Crohn’s strictures. Aliment Pharmacol Ther 2003;18:409-3.

    Article  PubMed  Google Scholar 

  132. Morini S, Hassan C, Lorenzetti R, et al. Long-term outcome of endoscopic pneumatic dilatation in Crohn’s disease. Dig Liver Dis 2003;35:893-.

    Article  PubMed  CAS  Google Scholar 

  133. Singh VV, Draganov P, Valentine J. Efficacy and safety of endoscopic balloon dilation of symptomatic upper and lower gastrointestinal Crohn’s disease strictures. J Clin Gastroenterol 2005;39:284-0.

    Article  PubMed  Google Scholar 

  134. Ferlitsch A, Reinisch W, Puspok A, et al. Safety and efficacy of endoscopic balloon dilation for treatment of Crohn’s disease strictures. Endoscopy 2006;38:483-.

    Article  PubMed  CAS  Google Scholar 

  135. Nomura E, Takagi S, Kikuchi T, et al. Efficacy and safety of endoscopic balloon dilation for Crohn’s strictures. Dis Colon Rectum 2006;49:S59-7.

    Article  PubMed  Google Scholar 

  136. Alves A, Panis Y, Bouhnik Y, Maylin V, Lavergne-Slove A, Valleur P. Subtotal colectomy for severe acute colitis: a 20-year experience of a tertiary care center with an aggressive and early surgical policy. J Am Coll Surg 2003;197:379-5.

    Article  PubMed  Google Scholar 

  137. Hyman NH, Cataldo P, Osler T. Urgent subtotal colectomy for severe inflammatory bowel disease. Dis Colon Rectum 2005;48:70-.

    Article  PubMed  Google Scholar 

  138. Dunker MS, Bemelman WA, Slors JF, van Hogezand RA, Ringers J, Gouma DJ. Laparoscopic-assisted vs open colectomy for severe acute colitis in patients with inflammatory bowel disease (IBD): a retrospective study in 42 patients. Surg Endosc 2000;14:911-.

    Article  PubMed  CAS  Google Scholar 

  139. Marcello PW, Milsom JW, Wong SK, Brady K, Goormastic M, Fazio VW. Laparoscopic total colectomy for acute colitis: a case-control study. Dis Colon Rectum 2001;44:1441-.

    Article  PubMed  CAS  Google Scholar 

  140. Bell RL, Seymour NE. Laparoscopic treatment of fulminant colitis. Surg Endosc 2002;16:1778-2.

    Article  PubMed  CAS  Google Scholar 

  141. Carter FM, McLeod RS, Cohen Z. Subtotal colectomy for ulcerative colitis: complications related to the rectal remnant. Dis Colon Rectum 1991;34:1005-.

    Article  PubMed  CAS  Google Scholar 

  142. Trickett JP, Tilney HS, Gudgeon AM, Mellor SG, Edwards DP. Management of the rectal stump after emergency sub-total colectomy: which surgical option is associated with the lowest morbidity? Colorectal Dis 2005;7:519-2.

    Article  PubMed  CAS  Google Scholar 

  143. Karch LA, Bauer JJ, Gorfine SR, Gelernt IM. Subtotal colectomy with Hartmann’s pouch for inflammatory bowel disease. Dis Colon Rectum 1995;38:635-.

    Article  PubMed  CAS  Google Scholar 

  144. Tekkis PP, Purkayastha S, Lanitis S, et al. A comparison of segmental vs subtotal/total colectomy for colonic Crohn’s disease: a meta-analysis. Colorectal Dis 2006;8:82–90.

    Article  PubMed  CAS  Google Scholar 

  145. Goligher JC. The long-term results of excisional surgery for primary and recurrent Crohn’s disease of the large intestine. Dis Colon Rectum 1985;28:51-.

    Article  PubMed  CAS  Google Scholar 

  146. Scammell BE, Andrews H, Allan RN, Alexander-Williams J, Keighley MR. Results of proctocolectomy for Crohn’s disease. Br J Surg 1987;74:671-.

    Article  PubMed  CAS  Google Scholar 

  147. Fichera A, McCormack R, Rubin MA, Hurst RD, Michelassi F. Long-term outcome of surgically treated Crohn’s colitis: a prospective study. Dis Colon Rectum 2005;48:963-.

    Article  PubMed  Google Scholar 

  148. Ritchie JK, Lockhart-Mummery HE. Non-restorative surgery in the treatment of Crohn’s disease of the large bowel. Gut 1973;14:263-.

    Article  PubMed  CAS  Google Scholar 

  149. Cirincione E, Gorfine SR, Bauer JJ. Is Hartmann’s procedure safe in Crohn’s disease? Report of three cases. Dis Colon Rectum 2000;43:544-.

    Article  PubMed  CAS  Google Scholar 

  150. Regimbeau JM, Panis Y, Pocard M, et al. Long-term results of ileal pouch-anal anastomosis for colorectal Crohn’s disease. Dis Colon Rectum 2001;44:769-8.

    Article  PubMed  CAS  Google Scholar 

  151. Hartley JE, Fazio VW, Remzi FH, et al. Analysis of the outcome of ileal pouch-anal anastomosis in patients with Crohn’s disease. Dis Colon Rectum 2004;47:1808-5.

    Article  PubMed  CAS  Google Scholar 

  152. Sagar PM, Dozois RR, Wolff BG. Long-term results of ileal pouch-anal anastomosis in patients with Crohn’s disease. Dis Colon Rectum 1996;39:893-.

    Article  PubMed  CAS  Google Scholar 

  153. Braveman JM, Schoetz DJ Jr, Marcello PW, et al. The fate of the ileal pouch in patients developing Crohn’s disease. Dis Colon Rectum 2004;47:1613-.

    Article  PubMed  Google Scholar 

  154. Brown CJ, Maclean AR, Cohen Z, Macrae HM, O’Connor BI, McLeod RS. Crohn’s disease and indeterminate colitis and the ileal pouch-anal anastomosis: outcomes and patterns of failure. Dis Colon Rectum 2005;48:1542-.

    Article  PubMed  Google Scholar 

  155. Tekkis PP, Heriot AG, Smith O, Smith JJ, Windsor AC, Nicholls RJ. Long-term outcomes of restorative proctocolectomy for Crohn’s disease and indeterminate colitis. Colorectal Dis 2005;7:218-3

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgements

Contributing Members of the ASCRS Standards Committee: C. Neal Ellis, M.D., Ravin Kumar, M.D., Steven Mills, M.D., Graham Newstead, M.D., Paul Shellito, M.D., Elin Sigurdson, M.D., Scott Steele, M.D., Joe Tjandra, M.D.

Author information

Authors and Affiliations

  1. Fletcher Allen Health Care, 111 Colchester Avenue, Fletcher 301, Burlington, Vermont, 05401, USA

    Scott A. Strong M.D., Walter A. Koltun M.D., Neil H. Hyman M.D. & W. Donald Buie M.D.

Authors
  1. Scott A. Strong M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Walter A. Koltun M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Neil H. Hyman M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. W. Donald Buie M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Consortia

the Standards Practice Task Force of The American Society of Colon and Rectal Surgeons

Additional information

Reprints are not available.

About this article

Cite this article

Strong, S.A., Koltun, W.A., Hyman, N.H. et al. Practice Parameters for the Surgical Management of Crohn’s Disease. Dis Colon Rectum 50, 1735–1746 (2007). https://doi.org/10.1007/s10350-007-9012-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10350-007-9012-7

Keywords

Search

Navigation