Paśnik Krzysztof, Krupa Jarosław, Stanowski Edward
Klinika Chirurgii Ogólnej, Onkologicznej i Torakochirurgii CSK MON WIM, Warszawa.
Pol Merkur Lekarski. 2004;17 Suppl 1:44-6.
Significant number of patients suffering from Crohn's disease (CD) and ulcerative colitis (UC) require surgical treatment on various stages of disease. Operative treatment of CD is usually indicated due to complications or ineffective medical treatment, but recurrence of disease and need for reoperation is common. Indications for surgical management in UC include complications (e.g. hemorrhage, perforation, toxic colitis) and prevention of late complications or neoplastic transformation. The role of surgery in the management of inflammatory bowel diseases has been confirmed thanks to recent development in operative techniques, advances in pathophysiology and introduction of laparoscopic methods, which result in improved life quality and better postoperative outcome. The paper presents indications for surgical treatment and practical aspects of operative techniques.
大量患有克罗恩病(CD)和溃疡性结肠炎(UC)的患者在疾病的各个阶段都需要手术治疗。CD的手术治疗通常因并发症或药物治疗无效而进行,但疾病复发和再次手术的需求很常见。UC手术治疗的指征包括并发症(如出血、穿孔、中毒性结肠炎)以及预防晚期并发症或肿瘤转化。由于手术技术的最新发展、病理生理学的进步以及腹腔镜方法的引入,手术在炎症性肠病管理中的作用得到了证实,这导致了生活质量的提高和更好的术后结果。本文介绍了手术治疗的指征和手术技术的实际方面。