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Clin Colon Rectal Surg 2001; 14(2): 159-166
DOI: 10.1055/s-2001-15854
Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Large Bowel Crohn's Disease

Peter W. Marcello
  • Department of Colon and Rectal Surgery, Lahey Clinic, Burlington, MA
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Publication History

Publication Date:
31 December 2001 (online)

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ABSTRACT

Large bowel Crohn's disease is a challenging management problem. After appropriate evaluations and preparation, several surgical options are available. The extent of resection is determined by disease location and extent. Indications and results with segmental resection, total colectomy, or proctocolectomy are discussed.

KEYWORD

Large bowel Crohn's disease - pancolitis - proctocolitis

REFERENCES

  • 1 Lockhart-Mummery H E, Morson B C. Crohn's disease (regional enteritis) of the large intestine and its distinction from ulcerative colitis.  Gut . 1960;  1 87-105
    PubMedSearch in Google Scholar
  • 2 Makowiec F, Schmistke C, Paczulla D, Lamberts R, Becker H D, Starlinger M. Progression and prognosis of Crohn's colitis.  Gastroenterology . 1997;  35 7-14
    PubMedSearch in Google Scholar
  • 3 Block G E, Michelassi F, Tanaka M, Riddell R H, Hanauer S B. Crohn's disease.  Curr Probl Surg . 1993;  30 243
    PubMedSearch in Google Scholar
  • 4 Robert J R, Sachar D B, Greenstein A J. Severe gastrointestinal hemorrhage for Crohn's disease.  Ann Surg . 1991;  213 207-11
    CrossrefPubMedSearch in Google Scholar
  • 5 Stahl T J, Schoetz D J, Roberts P L, Coller J A, Murray J J, Silverman M L, Veidenheimer M C. Crohn's disease and carcinoma; an increasing justification for surveillance?.  Dis Colon Rectum . 1992;  35 850-856
    PubMedSearch in Google Scholar
  • 6 Cirincione E, Gorfine S R, Bauer J L. Is Hartmann's procedure safe in Crohn's disease: report of three cases.  Dis Colon Rectum . 2000;  43 544-547
    CrossrefPubMedSearch in Google Scholar
  • 7 Lavery I C, Jagelman D G. Cancer in the excluded rectum following surgery for inflammatory bowel disease.  Dis Colon Rectum . 1982;  25 522-524
    PubMedSearch in Google Scholar
  • 8 Allan A, Andrews H, Hilton C J, Keighley M RB, Allan R N, Alexander-Williams J. Segmental colonic resection as an appropriate operation for short skip lesions due to Crohn's disease of the colon.  World J Surg . 1989;  13 611-616
    CrossrefPubMedSearch in Google Scholar
  • 9 Prabhaker L P, Laramee C, Nelson H, Dozios R R. Avoiding a stoma: role for segmental or abdominal colectomy in Crohn's colitis.  Dis Colon Rectum . 1997;  40 71-78
    CrossrefPubMedSearch in Google Scholar
  • 10 Cooper J C, Jones D, Williams N S. Outcome of colectomy and ileorectal anastomosis in Crohn's disease.  Ann R Coll Surg Engl . 1986;  68 279-282
    PubMedSearch in Google Scholar
  • 11 Longo W E, Oakley J R, Lavery I C, Church J M, Fazio V W. Outcome of ileorectal anastomosis for Crohn's disease.  Dis Colon Rectum . 1992;  35 1066-1071
    CrossrefPubMedSearch in Google Scholar
  • 12 Buchmann P, Weterman I T, Keighley M RB, Pena S A, Allan R N, Alexander-Williams J. The prognosis of ileorectal anastomosis in Crohn's disease.  Br J Surg . 1981;  68 7-10
    PubMedSearch in Google Scholar
  • 13 Chevalier J M, Jones D J, Frileux P, Parc R. Colectomy and ileorectal anastomosis in patients with Crohn's disease.  Br J Surg . 1994;  81 1379-1381
    CrossrefPubMedSearch in Google Scholar
  • 14 Stern H S, Goldberg S M, Rothenberger D A. Segmental versus total colectomy for large bowel Crohn's disease.  World J Surg . 1984;  8 118-122
    CrossrefPubMedSearch in Google Scholar
  • 15 Lock M R, Fazio V W, Farmer R G, Jagelman D G, Lavery I C, Weakley F L. Proximal recurrence and the fate of the rectum following excisional surgery for Crohn's disease of the large bowel.  Ann Surg . 1981;  194 754-760
    PubMedSearch in Google Scholar
  • 16 Guillem J G, Roberts P L, Murray J J, Coller J A, Veidenheimer M C, Schoetz D J. Factors predictive of persistent or recurrent Crohn's disease in the excluded rectal segments.  Dis Colon Rectum . 1992;  35 768-772
    PubMedSearch in Google Scholar
  • 17 Yamamoto T, Allan R N, Keighley M RB. Audit of single-stage proctocolectomy for Crohn's disease: postoperative complications and recurrence.  Dis Colon Rectum . 2000;  43 249-256
    PubMedSearch in Google Scholar
  • 18 Corman M L, Veidenheimer M C, Coller J C, Ross V H. Perineal wound healing after proctectomy for inflammatory bowel disease.  Dis Colon Rectum . 1978;  21 155-159
    CrossrefPubMedSearch in Google Scholar
  • 19 Marcello P W, Schoetz D J, Roberts P L, Murray J J, Coller J A, Rusin L C, Veidenheimer M C. Evolutionary changes in the pathologic diagnosis following the ileoanal pouch procedure.  Dis Colon Rectum . 1997;  40 263-269
    PubMedSearch in Google Scholar
  • 20 Hyman N H, Fazio V W, Tuckson W B, Lavery I C. Consequences of ileal pouch-anal anastomosis for Crohn's colitis.  Dis Colon Rectum . 1991;  34 653-657
    PubMedSearch in Google Scholar
  • 21 Deutsch A A, McLeod R S, Cullen J, Cohen Z. Results of pelvic-pouch procedure in patients with Crohn's disease.  Dis Colon Rectum . 1991;  34 475-477
    CrossrefPubMedSearch in Google Scholar
  • 22 Mylonakis E, Allan R, Keighley M. How does pouch construction compare with ileoproctostomy for Crohn's proctocolitis?.  Dis Colon Rectum . 2000;  43 A24-A25
    PubMedSearch in Google Scholar
  • 23 Panis Y, Poupard B, Lavergne A, Hautefeuille P, Valleur P. Ileal pouch-anal anastomosis for Crohn's disease.  Lancet . 1996;  347 854-857
    CrossrefPubMedSearch in Google Scholar
  • 24 Regimbeau J M, Panis Y, Bouhnik Y, Lavergne-Slove A, Matuchansky C, Valleur P. Long-term results of ileal pouch anal anastomosis for Crohn's colitis.  Dis Colon Rectum . 2000;  43 A24
    PubMedSearch in Google Scholar
  • 25 Canin-Endres J, Salky B, Gattorno F, Edye M. Laparoscopic assisted intestinal resection in 88 patients with Crohn's disease.  Surg Endosc . 1999;  13 595-599
    CrossrefPubMedSearch in Google Scholar
  • 26 Wong S K, Marcello P W, Hammerhoffer K A, Milsom J W. Laparoscopic surgery for Crohn's disease: an analysis of 91 consecutive cases.  Surg Endo . 1999;  13 S4
    PubMedSearch in Google Scholar
  • 27 Longo W E, Ballantyne G H, Cahow C E. Treatment of Crohn's colitis: segmental or total colectomy.  Arch Surg . 1988;  123 588-590
    CrossrefPubMedSearch in Google Scholar
  • 28 Veidenheimer M C, Dailey T H, Meissner W A. Ileorectal anastomosis for inflammatory disease of the large bowel.  Am J Surg . 1970;  119 375-378
    CrossrefPubMedSearch in Google Scholar
  • 29 Watts J, Hughes E SR. Ulcerative colitis and Crohn's disease: results after colectomy and ileorectal anastomosis.  Br J Surg . 1977;  64 77-83
    PubMedSearch in Google Scholar