Thursday, April 15, 2010

Surgery for Colonic Crohn's Disease

Segmental vs total colectomy:
- distribution of diseae: previous or concurrent SB disease
- status of rectum
- age of patient
- rate of recurrence

- don't leave your anastaomosis next to the duodenum; if recurrence forms develops a duodenal fistula
- Transeverse colon disease: segmental transverse colectomy results in huge mesenteric defect; better to do subtotal and anastamosis to sigmoid colon
- multisegmental pancolonic crohn's: consider IRA if pts sphincter fxn will tolerate

No comments:

Post a Comment