Results of surgical treatment of Crohn's enterocolitis granulomatosa
Deltz, E.; Hantschmann, N.
Münchener Medizinische Wochenschrift 118(15): 465-468
1976
ISSN/ISBN: 0341-3098 PMID: 817183 Document Number: 109768
The possibilities of surgical treatment are outlined with reference to 45 patients with Crohn's enterocolitis granulomatosa. In 82% of the cases a large part of the colon is affected in addition to the terminal ileum, so that resections of the large intestine are necessary as a rule. In our patients the relapse rate after 3 years was 36%. An improvement in the late results can apparently be achieved if the resection is performed to correspond with the extent of the inflammatory changes demonstrated by a preoperative mesentericography. Postoperative immunosuppressive treatment over a long period may well contribute to the prevention of recurrences.