Crohn’s Disease and Ulcerative Colitis pp 111-115 | Cite as
Colonic Crohn’s Disease (Including Rectal Disease)
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Abstract
Although small and large bowel disease often coincide in patients with Crohn’s disease, the surgical management of colonic disease has many different indications and so is described separately. Colonic Crohn’s disease is more likely to be associated with perianal lesions than is small bowel disease. Colonic disease less often obstructs and fistulates, although it may often have a fistula entering the sigmoid colon from associated ileal disease. Compared with small bowel Crohn’s disease colonic disease is more likely to present with acute and chronic bleeding and, occasionally, it is subject to acute exacerbations, closely resembling acute attacks of ulcerative colitis.
Keywords
Ulcerative Colitis Diverticular Disease Total Colectomy Rectal Stump Perianal Disease
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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References
- Allan R, Steinberg DM, Alexander-Williams J, Cooke WT (1977) Crohn’s disease involving the colon: an audit of clinical management. Gastroenterology 73: 723–732PubMedGoogle Scholar
- Allan A, Andrews H, Hilton CJ, Keighley MRB, Allan RN, Alexander-Williams J (1989) Segmental colonic resection is an appropriate operation for short skip lesions due to Crohn’s disease in the colon. World J Surg 13: 611–616PubMedCrossRefGoogle Scholar
- Baker WN, Milton-Thompson GJ (1974) Management of anal fistulas in Crohn’s disease. Proc R Soc Med 67: 58PubMedGoogle Scholar
- Buchmann P, Allan RN, Thompson H, Alexander-Williams J (1980) Carcinoma in a rectovaginal fistula in a patient with Crohn’s disease. Am J Surg 140: 462–463PubMedCrossRefGoogle Scholar
- Cooke WT, Mallas E, Prior P, Allan RN (1980) Crohn’s disease: course, treatment and long term prognosis. Q J Med 195: 363–384Google Scholar
- Craft CF, Mendelson G, Cooper HS, Yardley JH (1981) Colonic precancer in Crohn’s disease. Gastroenterology 80: 578–584PubMedGoogle Scholar
- Fleming KA, Pollock AC (1975) A case of Crohn’s carcinoma. Gut 16: 533–537PubMedCrossRefGoogle Scholar
- Greenstein AJ, Sachar DB, Smith H, Janowitz HD, Aufses AH Jr (1980) Patterns of neoplasia in Crohn’s disease and ulcerative colitis. Cancer 46: 403–407PubMedCrossRefGoogle Scholar
- Gyde SN, Prior P, Macartney JC, Thompson H, Waterhouse JAH, Allan RN (1980) Malignancy in Crohn’s disease. Gut 21: 1024–1029PubMedCrossRefGoogle Scholar
- Gyde SN (1990) Cancer risk in Crohn’s disease. In: Allan RN, Keighley MRB, Alexander-Williams J, Hawkins C (eds) Inflammatory bowel disease. Churchill Livingstone, Edinburgh, p. 575Google Scholar
- Harper PH, Kettlewell MG, Lee EC (1982) The effect of split ileostomy on perianal Crohn’s disease. Br J Surg 68: 608–610CrossRefGoogle Scholar
- Keighley MRB, Thompson H, Alexander-Williams J (1975) Multifocal colonic carcinoma and Crohn’s disease. Surgery 78: 534–537PubMedGoogle Scholar
- Lee EC (1975) Split ileostomy in the treatment of Crohn’s disease of the colon. Ann R Coll Surg 566: 94–102Google Scholar
- Lightdale CJ, Sternberg SS, Psner G, Sherlock P (1975) Carcinoma complicating Crohn’s disease. Report of seven cases and review of the literature. Am J Med 59: 262PubMedCrossRefGoogle Scholar
- Mortensen NJ McC, Ritchie JK, Hawley PR, Todd IP, Lennard-Jones JE (1984) Surgery for acute Crohn’s colitis: results and long-term follow up. Br J Surg 71: 783–784PubMedCrossRefGoogle Scholar
- Oberhelman HA, Kohatsu S, Taylor KB, Kivel RM (1968) Diverting ileostomy in the surgical management of Crohn’s disease of the colon. Am J Surg 115: 231–239PubMedCrossRefGoogle Scholar
- Small WP, Smith AN (1975) Fistula and conditions associated with diverticular disease of the colon. Clin Gastroenterol 4: 171–199PubMedGoogle Scholar
- Truelove SC, Ellis H, Webster CU (1965) Place of a double-barrelled ileostomy in ulcerative colitis and Crohn’s disease of the colon. Br Med J 1: 150–153PubMedCrossRefGoogle Scholar
- Zelas P, Jagelman DG (1980) Loop ileostomy in the management of Crohn’s colitis in the debilitated patient. Ann Surg 191: 164–168PubMedCrossRefGoogle Scholar
- Zinkin LD, Brandwein C (1980) Adenocarcinoma in Crohn’s colitis. Dis Colon Rectum 23: 115–117PubMedCrossRefGoogle Scholar
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