Journal
CLINICS IN COLON AND RECTAL SURGERY
Volume 26, Issue 2, Pages 75-79Publisher
THIEME MEDICAL PUBL INC
DOI: 10.1055/s-0033-1348044
Keywords
Crohn disease; immunomodulators; biologic therapy; steroids; nutrition
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Crohn disease is a chronic disease that is treated with aminosalicylates, antibiotics, and immunosuppressant agents. Most patients ultimately require surgical intervention and many will require additional surgery for recurrent disease. Consequently, surgery is generally performed only when medical management fails; however, these patients are often malnourished and immunosuppressed. Preoperative optimization is necessary to minimize morbidity, including intra-abdominal septic complications and anastomotic leaks. In this article, the authors review some considerations to improve the surgical outcome in Crohn disease.
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