Background
The clinical course of Crohn’s disease (CD) is often unpredictable. Severe forms of the disease still require surgery in nearly 80% of these patients. Moreover, one third will require reoperation [1], with rates ranging from 20 to 25% at 5 years and 34 to 39% at 10 years [2, 3]. Many risk factors for repeated surgery have been hypothesized in the international literature. Among these, young age (below 16 years), stricturing behavior, intraabdominal abscess, emergency surgery, and delayed diagnosis after surgery are recognized as the most relevant [4]. In the following we describe a severe case of CD with a difficult clinical course.
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References
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Multiple Choice Questionnaire
-
1)
In what percentage of patients with severe forms of Crohn’s disease is surgery needed?
-
a.
5–10%
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b.
15–20%
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c.
25–30%
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d.
40–50%
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e.
nearly 80%
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a.
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2)
The reported reoperation rate at 5 years in Crohn’s disease is
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a.
1–3%
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b.
5–10%
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c.
10–15%
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d.
20–25%
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e.
40–45%
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a.
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3)
Which risk factors are thought to be responsible for the need for repeated surgery in Crohn’s disease?
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a.
young age
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b.
stricturing behavior
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c.
intra-abdominal abscess
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d.
emergency surgery
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e.
all of the above
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a.
1.e — 2.d — 3.e
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D’Annibale, A. et al. (2013). Unusual Evolution of a Clinical Case of Crohn’s Disease in a Patient with Multiple Surgeries and Multiple Fistulas. In: Trecca, A. (eds) Atlas of Ileoscopy. Springer, Milano. https://doi.org/10.1007/978-88-470-5205-5_27
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DOI: https://doi.org/10.1007/978-88-470-5205-5_27
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