TY - JOUR
T1 - Surgery and diagnostic imaging in abdominal Crohn’s disease
AU - Botti, Fiorenzo
AU - Caprioli, Flavio
AU - Pettinari, Diego
AU - Carrara, Alberto
AU - Magarotto, Andrea
AU - Contessini Avesani, Ettore
PY - 2015
Y1 - 2015
N2 - 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.
AB - 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.
KW - Crohn’s disease
KW - Imaging for Crohn’s disease
KW - Surgery
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U2 - 10.1007/s40477-013-0037-6
DO - 10.1007/s40477-013-0037-6
M3 - Article
AN - SCOPUS:84924766871
VL - 18
SP - 3
EP - 17
JO - Journal of Ultrasound
JF - Journal of Ultrasound
SN - 1971-3495
IS - 1
ER -