Herfarth C
Langenbecks Arch Chir. 1984;364:143-7. doi: 10.1007/BF01823186.
Surgical decision making in inflammatory bowel disease also includes aspect of the patient's general condition. If conservative therapy fails surgical therapy in ulcerative colitis and diverticulitis is a curative procedure. In Crohn's disease the situation is principally different. Conservative and surgical treatment being only symptomatical, they cannot lead to a definite cure. Quality of life and disease-free interval must be compared to the general risk, i.e. lethality and morbidity of conservative therapy as well as of surgery. The analysis of our own patients shows a minimal risk after surgery.
炎症性肠病的外科决策还包括患者一般状况的方面。如果保守治疗失败，溃疡性结肠炎和憩室炎的手术治疗是一种根治性方法。在克罗恩病中，情况则主要不同。保守治疗和手术治疗都只是对症治疗，无法实现彻底治愈。必须将生活质量和无病间期与总体风险进行比较，即保守治疗以及手术的致死率和发病率。对我们自己患者的分析显示手术后风险极小。
