Barwood N, Platell C
University Department of Surgery, Fremantle Hospital, Western Australia, Australia.
J Gastroenterol Hepatol. 1999 Nov;14(11):1132-4. doi: 10.1046/j.1440-1746.1999.02020.x.
Patients with Crohn's disease affecting the small intestine appear to have an increased risk of developing adenocarcinoma. However, it remains an uncommon complication of an uncommon disease. The diagnosis is difficult to make both pre- and intra-operatively, and is most commonly made postoperatively on histopathology. Hence, at laparotomy, consideration should be given to performing a frozen section on all small bowel strictures due to Crohn's disease to define the presence of dysplasia or cancer. This will assist the surgeon in deciding whether to perform a stricturoplasty or a resection.
患有影响小肠的克罗恩病的患者似乎患腺癌的风险增加。然而，它仍然是一种罕见疾病的罕见并发症。术前和术中诊断都很困难，最常见的是在术后通过组织病理学做出诊断。因此，在剖腹手术时，应考虑对所有因克罗恩病导致的小肠狭窄进行冰冻切片检查，以确定是否存在发育异常或癌症。这将有助于外科医生决定是进行狭窄成形术还是切除术。
