Fonkalsrud E W, Ament M E, Fleisher D
Arch Surg. 1982 Jan;117(1):11-4. doi: 10.1001/archsurg.1982.01380250003001.
Sixty-six young patients (average age, 17.2 years) underwent intestinal operations for Crohn's disease during a 14-year period at the UCLA Hospital. Nine had undergone previous appendectomy for suspected appendicitis, and in seven subsequent enteric fistulae and/or obstruction involving the cecum developed. None of the appendices were acutely inflamed. During the same period, a total of 125 children with Crohn's disease underwent medical or surgical care, and in none did acute appendicitis develop. Of the 66 patients under 22 years old who required intestinal resection, 60 had removal of the cecum. In a child with ileal Crohn's disease, rarely should a normal appendix be removed because of the high likelihood of complications and the low incidence of subsequent appendicitis.
在14年期间，66名年轻患者（平均年龄17.2岁）在加州大学洛杉矶分校医院接受了克罗恩病肠道手术。其中9人曾因疑似阑尾炎接受过阑尾切除术，随后7人出现涉及盲肠的肠瘘和/或肠梗阻。所有阑尾均无急性炎症。同期，共有125名克罗恩病患儿接受了药物或手术治疗，均未发生急性阑尾炎。在66名需要肠道切除的22岁以下患者中，60人切除了盲肠。对于患有回肠克罗恩病的儿童，由于并发症发生的可能性高且随后阑尾炎的发病率低，很少应切除正常阑尾。
