炎症性肠病急诊手术要点及术式选择

Chinese Journal of Practical Surgery ›› 2013, Vol. 33 ›› Issue (07) : 549-551.

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PDF(395 KB)
Chinese Journal of Practical Surgery ›› 2013, Vol. 33 ›› Issue (07) : 549-551.
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Abstract

Choice and key points of emergency surgical procedure for inflammatory bowel disease        WU Xiao-ting, XIA Lin. Department of Gastrointestinal Surgery, West China Hospital, Sichuan University,Chengdu 610041,China
Corresponding  author:WU Xiao-ting, E-mail:wxt1@medmail.com.cn
Abstract    Emergency surgery of inflammatory bowel disease (IBD) is always the implementation in the case of poor efficacy of medical treatment, and the choice of surgical procedure is based on pathological diagnosis of IBD. Generally we prefer colectomy (or subtotal colectomy) with ileostomy for ulcerative colitis. But in Crohn's disease, surgeons need only to deal with the complete obstruction, bleeding and perforation,then perform double barrel enterostomy or intestinal anastomosis depending on the patient's general condition. In the procedures, to retain the intestine is important. In addition,for undiagnosed IBD we should not only to deal with the lesion by staging surgery treatment,but also to confirm the diagnosis in the surgical procedure.

Key words

ulcerative colitis / Crohn's disease / emergency surgery

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