Analysis of clinical manifestations and surgical treatment of Crohn disease: a report of 82 cases / 中华胃肠外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To elucidate the clinical types of Crohn disease and evaluate its surgical treatment.</p><p><b>METHODS</b>Clinical data of 82 cases with Crohn disease were retrospectively analyzed from June 1972 to June 2003.</p><p><b>RESULTS</b>Among 82 cases with Crohn disease,38 cases were diagnosed before operation,and 44 cases(53.7% ) were misdiagnosed. Main clinical manifestations included abdominal pain(96.3% ),diarrhea(89.0% ) and abdominal mass(28.0% ),other clinical manifestations included fistulation,intestinal hemorrhage and extra- intestinal manifestations such as ulcerative stomatitis,mycotic stomatitis. Patients received different surgical procedures as following partial enterectomy in 57 cases,hemicolectomy and colostomy in 4 patients,partial ileectomy and ileostomy in 2,ileocolic bypass procedure in 3 patients,partial enterectomy and colectomy and anastomosis in 3 patients because of internal fistula,repair of ileal perforation in 2,lysis of adhesion in 6,drainage of intraperitoneal abscess and ostomy in 3,radical operation in 2 due to colon cancerization. Seventy- three cases(89.0% ) were cured by operation,postoperative complications occurred in 9 patients and 2 cases died.</p><p><b>CONCLUSION</b>It is the key point to achieve successful operation that the corresponding operative modes respectively for varied types of Crohn disease should be adopted.</p>