Clinical Studies of 9 Cases Undergone Surgical Treatment for Crohn's Disease

Jyun-ichi Hasegawa, Yoshiro Oguchi, Nobuo Ogino, Hirotsugu Fukuda, Goro Matsumiya, Hiroyuki Nakaba, Kenzo Okumura, Akihiro Ochi, Yukio Ohshita, Suzuo Kobayashi, Tetsuto Takao

Department of Surgery, Kure National Hospital

Nine patients with Crohn's disease underwent surgery. Four patients underwent their first operation because of acute free perforation, one had a subacute perforation with an abscess, three had intestinal stricture, and one had hemorrhage. Bowel resection as short in length as possible was chosen in all cases. The postoperative recurrence rate was 50%. One patient underwent to additional operations because of recurrence. In this case, strictureplasty was performed in the second operation to avoid short bowel syndrome. Recurrence occurred again and unavoidable resection of this site was performed in the third operation. All of the patients except one who sustained an operative death are warking with or without recurrence now. Their symptoms can be controlled by medication. In conclusion, a limited operation like bowel resection as short as possible is recommended as surgical treatment for complications of Crohn's disease.

Key words
Crohn's disease, surgical procedures, postoperative recurrence

Reprint requests
Jyun-ichi Hasegawa Department of Surgery, Osaka Police Hospital
10-31 Kitayama, Ten-nouji, Osaka, 543 JAPAN

Accepted
September 12, 1990

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