SURGICAL-TREATMENT FOR CROHNS-DISEASE

The medical records of 16 consecutive patients with Crohn's disease su rgically treated in our department from 1978 to 1993 were retrospectiv ely reviewed. The indication for surgery was obstructive symptoms due to Crohn's strictures that were unresponsive to conservative therapy. The types of operations performed were classified into five categories . Nine patients (56.3%) had small bowel resection only, 4 (25.0%) unde rwent an ileocolonic resection, 1 (6.3%) had a total colectomy, 1 (6.3 %) had Mile's operation and 1 (6.3%) had subtotal gastrectomy with gas trojejunostomy and antral mucosectomy. Of these 16 patients, 13 (81.3% ) had resection with a single anastomosis and strictureplasty was conc omitantly performed in only 2 cases (12.5%). Crohn's disease recurred in 3 patients (18.8%), 1 of whom required a second operation.