Segmental Colectomy

  • Denis C. N. K. Nyam
  • John H. Pemberton


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.


Terminal Ileum Segmental Resection Hepatic Flexure Limited Resection Mesenteric Defect 
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  1. 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
  2. 2.
    Allan A, Andrews MB, Hilton CJ, Keighley MRB, Allan RN, Alexander-Williams J. Segmentai colonic resection is an appropriate operation for short skip lesions due to Crohn’s disease of the colon. World J Surg 1989;13:611–616.PubMedCrossRefGoogle Scholar
  3. 3.
    Longo WE, Ballantyne GH, Cahow E. Treatment of Crohn’s colitis. Segmental or total colectomy? Arch Surg 1988;123:588–590.PubMedCrossRefGoogle Scholar
  4. 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. 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
  6. 6.
    Scammell BE, Andrews H, Allan RN, Alexander-William J, Keighley MRB. Results of proctocolectomy for Crohn’s disease. Br J Surg 1987;74:671–674.PubMedCrossRefGoogle Scholar
  7. 7.
    Kodner IJ, Fry RD. Inflammatory bowel disease. CIBA Found Symp 1982;32.Google Scholar
  8. 8.
    Block GE. Current concepts: Surgical management of Crohn’s colitis. N Engl J Med 1980;302:1068–1070.PubMedCrossRefGoogle Scholar
  9. 9.
    Goligher JC. Surgical treatment of Crohn’s disease affecting mainly or entirely the large bowel. World J Surg 1988;12:186–190.PubMedCrossRefGoogle Scholar
  10. 10.
    Sanfey H, Bayless TM, Cameron JL. Crohn’s disease of the colon. Is there a role for limited resection? Ann J Surg 1984;147:38–42.CrossRefGoogle Scholar
  11. 11.
    Stern HS, Goldberg SM, Rothenberger DA, Nivat-vongs S, Schottler J, Christenson C, et al. Segmental versus total colectomy for large bowel Crohn’s disease. World J Surg 1984;8:118–122.PubMedCrossRefGoogle Scholar
  12. 12.
    De Dombal FT, Burton I, Goligher JC. Recurrence of Crohn’s disease after primary excisional surgery. Gut 1971;12:519–527.PubMedCrossRefGoogle Scholar
  13. 13.
    Roediger WEW, Rigol G, Rae D. Sodium absorption with bacterial fatty acids and bile salts in the proximal and distal colon as a guide to colonic resection. Dis Colon Rectum 1984;27:1–5.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1999

Authors and Affiliations

  • Denis C. N. K. Nyam
  • John H. Pemberton

There are no affiliations available

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