It has been reported that only 20% of patients with Crohn’s colitis remain well without surgery 5 and 10 years after diagnosis (1). In contrast to surgery for ulcerative colitis, surgery for Crohn’s disease will not result in a cure. Although the use of limited resection for small bowel Crohn’s is widely accepted, the value of segmental resection in colonic Crohn’s disease is more controversial. The role of the colon in water and electrolyte conservation and protection against volume depletion becomes increasingly important as the amount of small bowel resected increases. Therefore, although largely an expendable organ, colonic preservation may be justified in segmental Crohn’s disease.
KeywordsPerforation Ileal Verse Megacolon
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- 1.Allan R, Steinberg DM, Alexander-Williams J, Cooke WT. Crohn’s disease involving the colon: an audit of clinical management. Gasteroenterology 1977;73:723–732.Google Scholar
- 4.Farmer RG, Hawker WA, Turnbull RB. Clinical patterns in Crohn’s disease: a statistical study of 615 cases. Gasteroenterology 1975;68:627–635.Google Scholar
- 5.Goligher JC. The long-term results of excisional surgery for primary and recurrent Crohn’s disease of the large intestine. Dis Colon Rectum 1985;28:52–55.Google Scholar
- 7.Kodner IJ, Fry RD. Inflammatory bowel disease. CIBA Found Symp 1982;32.Google Scholar