Delaney C P, Fazio V W
Department of Colorectal Surgery, Cleveland Clinic Foundation, Ohio 44195, USA.
Surg Clin North Am. 2001 Feb;81(1):137-58, ix. doi: 10.1016/s0039-6109(05)70277-2.
Crohn's disease of the small bowel frequently requires surgical intervention. While dealing with the disease complications that require intervention, treatment should be based on a long-term strategic plan that recognizes the likelihood of recurrent disease, repeat surgeries, and the possibility of a future ostomy. Resection forms the basis for surgical treatments, but strictureplasty, abscess drainage, intestinal and diversion bypasses also are used, selectively.
小肠克罗恩病常常需要手术干预。在处理需要干预的疾病并发症时,治疗应基于一项长期战略计划,该计划要认识到疾病复发、再次手术的可能性以及未来造口术的可能性。切除是手术治疗的基础,但狭窄成形术、脓肿引流、肠旁路和转流旁路也会选择性地使用。