Surgery for Intestinal Crohn’s Disease: Results of a multidisciplinary approach

Özet

Objectives: Crohn’s disease is a chronic inflammatory bowel disease that requires lifelong multidisciplinary management. Seventy percent of patients affected by Crohn’s disease will require at least one surgical procedure over theirlifetime. The aim of this retrospective study was to present our series of patients suffering from Crohn’s disease whowere scheduled for surgery by a multidisciplinary team.Material and methods: The data were retrieved from a review of 950 patients with Crohn’s disease treated at ourinstitution between March 2000 and March 2016. Only patients with intestinal Crohn’s disease were included intothe study. A multidisciplinary team assessed the decision to perform surgery.Results: There were 203 patients who underwent surgery included in this study. One hundred and sixty-six wereintestinal and 37 were perianal Crohn’s disease. The mean age was 36±11.5 (range, 12–75) years. Ninety-two werestricturing, 45 were fistulizing, and 12 were inflammatory. The most commonly affected site was the ileocecal region(n=109, 65.7%), and the most common surgical procedure was the ileocecal resection (n=109, 65.6%). Laparoscopicapproach was the procedure of choice in 56 (33.7%) patients. Of the patients enrolled, the most common early (<30days) complications observed were the wound infection as the first (n=11) and anastomotic leak as the second(n=10). The mortality rate was 2.4% (n=4).Conclusion: Multidisciplinary approach to Crohn’s disease may decrease the surgical complications and recurrencerates leading to a better treatment.