Surgery and diagnostic imaging in abdominal Crohn’s disease

Fiorenzo Botti, Flavio Caprioli, Diego Pettinari, Alberto Carrara, Andrea Magarotto, Ettore Contessini Avesani

Research output: Contribution to journalArticlepeer-review

Abstract

Surgery is well-established option for the treatment of Crohn’s disease that is refractory to medical therapy and for complications of the disease, including strictures, fistulas, abscesses, bleeding that cannot be controlled endoscopically, and neoplastic degeneration. For a condition like Crohn’s disease, where medical management is the rule, other indications for surgery are considered controversial, because the therapeutic effects of surgery are limited to the resolution of complications and the rate of recurrence is high, especially at sites of the surgical anastomosis. In the authors’ opinion, however, surgery should not be considered a last-resort treatment: in a variety of situations, it should be regarded as an appropriate solution for managing this disease. Based on a review of the literature and their own experience, the authors examine some of the possibilities for surgical interventions in Crohn’s disease and the roles played in these cases by diagnostic imaging modalities.

Original languageEnglish
Pages (from-to)3-17
Number of pages15
JournalJournal of Ultrasound
Volume18
Issue number1
DOIs
Publication statusPublished - 2015

Keywords

  • Crohn’s disease
  • Imaging for Crohn’s disease
  • Surgery

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Internal Medicine

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