Atasoy Deniz, Aghayeva Afag, Aytaç Erman, Erenler İlknur, Çelik Aykut Ferhat, Baca Bilgi, Karahasanoğlu Tayfun, Hamzaoğlu İsmail
Department of General Surgery, Acıbadem University School of Medicine, İstanbul, Turkey.
Department of Gastroenterology, İstanbul University Cerrahpaşa School of Medicine, İstanbul, Turkey.
Turk J Surg. 2018 Aug 31;34(3):225-228. doi: 10.5152/turkjsurg.2017.3885.
Crohn's disease is a chronic inflammatory bowel disease that requires lifelong multidisciplinary management. Seventy percent of patients affected by Crohn's disease will require at least one surgical procedure over their lifetime. The aim of this retrospective study was to present our series of patients suffering from Crohn's disease who were scheduled for surgery by a multidisciplinary team.
The data were retrieved from a review of 950 patients with Crohn's disease treated at our institution between March 2000 and March 2016. Only patients with intestinal Crohn's disease were included into the study. A multidisciplinary team assessed the decision to perform surgery.
There were 203 patients who underwent surgery included in this study. One hundred and sixty-six were intestinal and 37 were perianal Crohn's disease. The mean age was 36±11.5 (range, 12-75) years. Ninety-two were stricturing, 45 were fistulizing, and 12 were inflammatory. The most commonly affected site was the ileocecal region (n=109, 65.7%), and the most common surgical procedure was the ileocecal resection (n=109, 65.6%). Laparoscopic approach was the procedure of choice in 56 (33.7%) patients. Of the patients enrolled, the most common early (<30 days) complications observed were the wound infection as the first (n=11) and anastomotic leak as the second (n=10). The mortality rate was 2.4% (n=4).
Multidisciplinary approach to Crohn's disease may decrease the surgical complications and recurrence rates leading to a better treatment.
克罗恩病是一种慢性炎症性肠病，需要终身多学科管理。70%的克罗恩病患者一生中至少需要进行一次外科手术。这项回顾性研究的目的是介绍我们多学科团队安排进行手术的一系列克罗恩病患者。
数据来自对2000年3月至2016年3月在我院接受治疗的950例克罗恩病患者的回顾。仅纳入肠道克罗恩病患者进行研究。多学科团队评估手术决策。
本研究纳入203例接受手术的患者。166例为肠道克罗恩病，37例为肛周克罗恩病。平均年龄为36±11.5岁（范围12 - 75岁）。92例为狭窄型，45例为瘘管型，12例为炎症型。最常受累部位是回盲部（n = 109，65.7%），最常见的外科手术是回盲部切除术（n = 109，65.6%）。56例（33.7%）患者选择腹腔镜手术。在纳入的患者中，观察到最常见的早期（<30天）并发症，首先是伤口感染（n = 11），其次是吻合口漏（n = 10）。死亡率为2.4%（n = 4）。
克罗恩病的多学科治疗方法可能会降低手术并发症和复发率，从而带来更好的治疗效果。
