Department of General Surgery, Joseph Brant Hospital, 390 Brant Street, Suite 405, Burlington, Ontario L7R 4J4, Canada.
Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, 9500 Euclid Avenue, Desk A-30, Cleveland, OH 44195, USA.
Surg Clin North Am. 2019 Dec;99(6):1123-1140. doi: 10.1016/j.suc.2019.08.004. Epub 2019 Oct 10.
Elective abdominal surgery for inflammatory bowel disease is common. Surgery for Crohn's disease is not curative, and treatment must be individualized to the disease process. Surgery for ulcerative colitis generally is curative but consideration of patient-specific factors is important for staging of the procedure and determining whether ileal pouch-anal anastomosis is appropriate.
择期腹部手术治疗炎症性肠病很常见。克罗恩病的手术不能根治,且治疗必须针对疾病进程进行个体化。溃疡性结肠炎的手术通常可根治,但应考虑患者的具体情况,为手术分期,并确定是否适合回肠贮袋肛管吻合术。