克罗恩病的术前优化
Preoperative optimization of crohn disease.
作者信息
Sharma Amit, Chinn Bertram T
机构信息
Division of Colon and Rectal Surgery, University of Medicine and Dentistry, Robert Wood Johnson Medical School, Edison, New Jersey.
出版信息
Clin Colon Rectal Surg. 2013 Jun;26(2):75-9. doi: 10.1055/s-0033-1348044.
Abstract
Crohn disease is a chronic disease that is treated with aminosalicylates, antibiotics, and immunosuppressant agents. Most patients ultimately require surgical intervention and many will require additional surgery for recurrent disease. Consequently, surgery is generally performed only when medical management fails; however, these patients are often malnourished and immunosuppressed. Preoperative optimization is necessary to minimize morbidity, including intra-abdominal septic complications and anastomotic leaks. In this article, the authors review some considerations to improve the surgical outcome in Crohn disease.
摘要
克罗恩病是一种慢性病，采用氨基水杨酸类药物、抗生素和免疫抑制剂进行治疗。大多数患者最终需要手术干预，许多患者还会因疾病复发而需要再次手术。因此，手术通常仅在药物治疗失败时进行；然而，这些患者往往营养不良且免疫功能低下。术前进行优化以将发病率降至最低很有必要，包括减少腹腔内感染并发症和吻合口漏。在本文中，作者回顾了一些提高克罗恩病手术疗效的注意事项。
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