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Surgical treatment of Crohn’s disease:a report of 85 cases

??Objective:To analyze the surgical treatment of Crohn’s disease (CD). Methods:The clinical data of 85 cases of Crohn’s disease admitted between 1980 and 2005 were analyzed retrospectively. Results:The number of inpatient with CD increased significantly in recent years.The rate of pre??operation diagnosis was 23.53%.Ileus (25.88%),mass in the right abdomen (10.59%),cecum cancer (12.94%) and acute appendicitis (4.71%) were the most common causes of misdiagnosis before operation.The most surgical procedure was the right half colon resection??37.65%??.The second was partial enterectomy (21.18%).The prognosis of enteral and external fistula and perianal CD were satisfactory. Conclusion:Surgical treatment is an important means to treat CD.The timely diagnosis and reasonable medical management are helpful to decrease the chance of operation when the lesion is active.It can improve the prognosis significantly.The main surgical signs of CD include obstruction,abdomen mass,fistula,acute perforation,hemorrhage and perianal lesions,etc.The surgical patterns are related to the location of lesion and type of the complication.The research of surgical patterns and standardization is the clinical issue to be resolved urgently.