Crohn's disease is a chronic inflammatory condition and affect the entire gastrointestinal tract. Surgery is not curative and first line treatment modality for CD but 75% of patients will require surgery. There are mainly 4 surgical options with different outcomes and recurrence rates. We aimed in the present study to investigate postoperative results of different surgical interventions used to treat CD and any relation with treatment modalities.
Patients and methods
A retrospective study was carried out through the analysis of patients treated with surgery involving bowel resection and a total of 76 patients was included in our present analyses and classified by the type of surgery into the 4 groups; segmental colectomy, total colectomy, segmental small intestinal resection or stricturoplasty and ileocecal resection.
Results and discussion:
76 patients underwent a bowel resection for complicated Cronhs disease. There was no significant difference between 4 surgical procedure groups in the rates of morbidity and mortality. On the aspects of hospital stay and ICU stay, there was a significant difference between groups statistically especially in the TPC group. There was no statistical significant difference on mortality and morbidity rates between surgery groups. Likewise we did not found any statistical difference between laparoscopy and open resection or emergent and scheduled surgery.