Segmental Resection of the Large Bowel

In some patients with Crohn's disease of the large bowel limited to isolated segments, a partial resection of the colon may be a reasonable solution. This method maintains the macroscopically unchanged segments of the colon and their activity regarding fluid-electrolyte balance, and also decreases the risk of episodes of gas and faecal incontinence in contrast to patients after colectomy with anastomosis. Following resection, the number of stools is approximately 2 per day, and the number of stools following colectomy with ileo-rectal anastomosis are 5 per day [32]. Segmental resection is a surgical procedure that can be allowed only in certain, selected groups of patients. Partial resection of the large bowel has a therapeutic value (low recurrence) in patients with the changes in the large bowel not exceeding 20 cm of bowel length. Patients avoid diversion, but unfortunately a risk of reoperation still exists. The risk of another resection involves 25-72% of patients. Longo et al. [33] reported that a risk of recurrence and repeated surgery corresponds to 62% of patients after 5 years following the initial surgery. A necessity of diversion in recurrences reaches only 14% of patients after a 14-year follow-up period. It the case of Crohn's disease limited to an isolated, proximal segment of large bowel, a partial resection may be a recommended surgical procedure due to a long-term disease-free and resection-free period. Numerous studies confirm the high safety of the method due to a low rate of complications [22,23]. As a guideline for the choice of effective surgical treatment: location

(right or left disease), extensiveness of the disease, patient's age, and a strength of a sphincter muscles should be considered.

Was this article helpful?

0 0
Mole Removal

Mole Removal

Moles, warts, and other unsightly irregularities of the skin can be bothersome and even embarrassing. They can be removed naturally... Removing Warts and Moles Naturally! If you have moles, warts, and other skin irregularities that you cannot cover up affecting the way you look, you can have them removed. Doctors can be extremely expensive. Learn the natural ways you can remove these irregularities in the comfort of your own home.

Get My Free Ebook


Post a comment