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Assisted Intestinal Resection
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Assisted Intestinal Resection
Since Crohn's disease is pan enteric and not curable by current modalities of therapy, and since the spectre of recurrence after surgery looms large in the natural history of the disease, it behoves the clinician to hold a strategic view of the patient's illness, the natural history of both the disease and its complications for these particular patients. The majority of patients with Crohn's disease (60% to 70%) present with disease involving the distal ileum, which often extends into the caecum or the proximal ascending colon. The nature of the disease at this site requires careful evaluation before a decision can be made about appropriate medical or surgical treatment. Both medical and surgical treatments have potential benefits and disadvantages. The experienced physician and surgeon working as a team in the best interest of the patient can maximize the benefits of both. Generally, these patients are managed nonsurgical until complications of the disease, failure to thrive, or significant side effects of medication occur. Surgery is usually offered at this point.
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