Ortiz V, Nicolás D, Nos P, Berenguer J
Servicio de Medicina Digestiva, Hospital La Fe., Valencia.
Gastroenterol Hepatol. 1999 Jan;22(1):18-21.
Severe or massive lower gastrointestinal bleeding is an unusual complication of inflammatory bowel disease that has traditionally associated with ulcerative colitis, although it can also appear in 0.6-2% of the cases in Crohn's disease. Two cases of severe lower gastrointestinal bleeding in Crohn's disease, one of them with ileocolic and another with ileal involvement are presented. Surgical treatment is supported by potential severity, high frequency of the relapse and data indicate a good prognosis after intestinal resection. It can be performed immediately if the persist bleeding or elective, as the 2 cases that we present, in the patients that are stabilized.
严重或大量下消化道出血是炎症性肠病的一种罕见并发症，传统上与溃疡性结肠炎有关，尽管在克罗恩病中也有0.6%-2%的病例会出现。本文介绍了两例克罗恩病导致的严重下消化道出血病例，其中一例累及回结肠，另一例累及回肠。手术治疗因潜在的严重性、高复发率以及数据表明肠切除术后预后良好而得到支持。如果出血持续，可立即进行手术；或者像我们介绍的两例病例那样，在病情稳定的患者中进行择期手术。
