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.
KeywordsTerminal Ileum Segmental Resection Hepatic Flexure Limited Resection Mesenteric Defect
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