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Surgery: Small Intestine Terminal Ileum—Resection

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Crohn’s Disease

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Abstract

Despite a prevalent perception that surgery should be a “last resort” in the management of terminal ileal (TI) Crohn’s Disease (CD), there is ample evidence that in fact, the exact opposite is true. Up to 70 % of CD patients with TI disease will require surgery during their lifetime, and resection of this segment supplies quick resolution of symptoms, histopathological confirmation, and a high safety profile at relatively low cost. Resection of the TI (usually with cecum and appendix) is the most common intestinal resection procedure performed in pediatric and adult CD patients. This chapter provides an overview of Terminal Ileal CD (TICD) surgical management, and sets the stage for a rethinking of our surgical approaches (resection and strictureplasty period) It is our intention to shift the paradigm of current TICD management to a less invasive, even less expensive one.

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Authors and Affiliations

  1. Minimally Invasive New Technologies, Section of Colon and Rectal Surgery, Center for Advanced Digestive Care, Weill Cornell Medical College, New York Presbyterian Hospital, New York, NY, 10065, USA

    S. K. Sharma MD & J. W. Milsom MD

Authors
  1. S. K. Sharma MD
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  2. J. W. Milsom MD
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Correspondence to J. W. Milsom MD .

Editor information

Editors and Affiliations

  1. Department of Surgery, University of Washington Medical Center, Seattle, Washington, USA

    Alessandro Fichera

  2. Department of Surgery, University of Washington Medical Center, Seattle, Washington, USA

    Mukta K. Krane

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Sharma, S.K., Milsom, J.W. (2015). Surgery: Small Intestine Terminal Ileum—Resection. In: Fichera, A., Krane, M. (eds) Crohn’s Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-14181-7_10

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  • DOI: https://doi.org/10.1007/978-3-319-14181-7_10

  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-14181-7

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