Hashash Jana G, Regueiro Miguel
Division of Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh School of Medicine, University of Pittsburgh Medical Center, Mezzanine Level, C Wing, 200 Lothrop Street, Pittsburgh, PA, 15213, USA.
Curr Gastroenterol Rep. 2016 May;18(5):25. doi: 10.1007/s11894-016-0499-8.
Postoperative Crohn's disease recurrence remains common, and preventing additional surgery remains a challenge. A critical step to postoperative management of Crohn's disease is being able to identify patients who should receive immediate postoperative therapy from the patients who can wait for recurrence prior to starting medications. All patients, regardless of their risk for recurrence, are advised to undergo a colonoscopy at 6 to 12 months after surgery to evaluate for endoscopic evidence of Crohn's disease. Further management of patients depends on symptoms and the presence or absence of endoscopic recurrence.
克罗恩病术后复发仍然很常见，避免再次手术仍是一项挑战。克罗恩病术后管理的关键一步是能够区分哪些患者应在术后立即接受治疗，哪些患者可以等待复发后再开始用药。建议所有患者，无论复发风险如何，在术后6至12个月接受结肠镜检查，以评估克罗恩病的内镜证据。对患者的进一步管理取决于症状以及内镜复发的有无。
