Topic:	digestive diseases (dd)
Title:	Current Controversies in the Surgical Management of Crohn's Disease.
Author:	Chambers, W.M.; Mortensen, L.; Mortensen, N.J.
Source:	IN: Jewell, D.P., et al, eds. Challenges in Inflammatory Bowel Disease: Management of Crohn's Disease. Malden, MA: Blackwell Publishing Inc. pp. 232-245.
Availability:	Available from Blackwell Publishing Inc. Commerce Place, Malden, MA 02148. Phone: 1-800-216-2522. Email: orders@aidcvt.com. Website: http://www.blackwellpublishing.com. Price: $129.95.
Abstract:	This chapter on current controversies in the surgical management of Crohn’s disease (CD) is from a textbook that addresses some of the challenges in the understanding of ulcerative colitis (UC) and CD, collectively known as inflammatory bowel disease (IBD). In this chapter, the authors discuss pouch surgery in CD, pouch surgery in indeterminate colitis, improving preoperative decision making, anal fistula in CD, medical therapy, surgical therapy, laparoscopic surgery for CD, minimizing postsurgical recurrence, and stapled ileocolic anastomoses. The authors remind readers that Crohn’s disease is incurable and as such all therapies are palliative and must be conservative. The aim is to control the patient’s symptoms with the least risk to continence, aiming for maximal rectal conservation. However, in cases where function is poor because of severe CD, about 10 percent of patients will ultimately be better served by proctectomy and permanent ileostomy. 1 table. 115 references.
Format:	Book Chapter
Language:	English.
Major Keywords:	Digestive System Diseases. Inflammatory Bowel Disease. Crohns Disease. Surgery. Surgical Techniques. Patient Care Management.
Minor Keywords:	Symptoms. Patient Selection. Fecal Incontinence. Ileostomy. Ileal Pouch. Preoperative Care. Postoperative Complications. Fistula. Laparoscopy. Recurrence. Anastomosis.
Publication Number:	DDBK10505.
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