Division of Colon & Rectal Surgery, Hiram C. Polk Jr. MD Department of Surgery, 550 South Jackson Street, Louisville, KY, 40202, USA.
Hiram C. Polk Jr. MD Department of Surgery, Price Institute of Surgical Research, University of Louisville, Louisville, KY, 40292, USA.
Langenbecks Arch Surg. 2022 May;407(3):885-895. doi: 10.1007/s00423-021-02324-4. Epub 2021 Nov 4.
The management of Crohn's disease has evolved significantly over the past 20 years. The arrival of biologic therapies has altered not only the management and outcomes but also rates for refractory disease requiring surgery. New surgical techniques have paralleled these medical advances, and this article will provide an overview of these new modalities as well as their outcomes. This is the first of a three-part series and will focus on terminal ileal and ileocolic disease.
过去 20 年来,克罗恩病的治疗发生了重大变化。生物疗法的出现不仅改变了管理和治疗结果,也改变了需要手术的难治性疾病的发生率。新的手术技术与这些医学进步并行不悖,本文将概述这些新方法及其治疗结果。这是三部分系列文章的第一部分,重点讨论末端回肠和回结肠疾病。