Basic principles and goals of surgical treatment for complications of Crohn's disease / 中华消化外科杂志

ABSTRACT

Crohn's disease (CD) has gradually become a common disease in China,more and more patients need surgical treatment.But the result of operation varied,as the surgical outcome is hampered by the poor general condition of the patients and risk factors of postoperative complications.The present review has summerized the objectives and goals of surgical treatment of CD,including saving lives,relieving clinical symptoms,improving the quality of life and postponing recurrence.Based on the clinical experiences of author,the common risk factors of postoperative complications were also listed,including malnutrition,complicating infection and preoperative immunosuppressive therapy.Basic principles of surgical treatment for CD mainly consist of psycological preparation of the patients and surgeons,correcting malnutrition and nutrition risks,controlling infection and other measures.Meanwhile,the rules of surgery should be simplistic,minimally traumatic and gut-saving,and clinical pathways should be followed to improve the surgical outcomes.