Hedrick Traci L, Friel Charles M
Department of Surgery, University of Virginia Health System, Charlottesville, Virginia.
Clin Colon Rectal Surg. 2013 Jun;26(2):84-9. doi: 10.1055/s-0033-1348046.
Colonic Crohn disease is a complicated disease entity that requires a multidisciplinary effort on the part of the surgeon, gastroenterologist, and pathologist. Crohn disease affects ∼500,000 people in North America with nearly 300,000 people suffering from colonic manifestations. This represents a significant portion of the patient population in the typical colorectal surgeon's practice. As such, an intimate understanding of the disease process, presentation, and treatment options is imperative. In this article, the authors review the clinical manifestations, diagnosis, and medical and surgical treatment options with a focus on current strategies for surgical management.
结肠克罗恩病是一种复杂的疾病实体,需要外科医生、胃肠病学家和病理学家进行多学科协作。在北美,约有50万人患有克罗恩病,其中近30万人有结肠症状。这在典型的结直肠外科医生的诊疗患者群体中占了很大一部分。因此,深入了解该疾病的发病过程、临床表现及治疗选择至关重要。在本文中,作者回顾了其临床表现、诊断以及药物和手术治疗选择,重点介绍了当前的手术管理策略。