RESUMO
The Authors reviews the acute and chronic complications of chronic idiopathic colitis in a series of 112 cases of his own observation. He discusses perforation, toxic megacolon and massive hemorrhage in terms of their pathogenesis, diagnostic procedures and incidence in the course of ulcerative colorectitis (Crohn's disease). He deals to some length with surgical indications and the choice of operation, both being the subject of considerable controversy, and he outlines his own views in the matter. Among chronic local complications he lists benign stenosis, pseudopolyposis, and fistulization; all of which, unlike neoplastic complications, seldom require surgery.
Assuntos
Colite Ulcerativa/complicações , Colite Ulcerativa/etiologia , Doença de Crohn/complicações , Hemorragia Gastrointestinal/etiologia , Perfuração Intestinal/etiologia , Megacolo Tóxico/etiologia , Abscesso , Doenças do Ânus/etiologia , Doença Crônica , Humanos , Fístula Intestinal/etiologia , Obstrução Intestinal/etiologia , Pólipos Intestinais/etiologiaRESUMO
Starting with one case of acute granulomatous appendicitis of their own observation, the authors review the scant literature on the subject (only 23 published cases to date) and advocate systematic appendicectomy in all isolated appendicular localizations of Crohn's disease. On the grounds that no post-appendicectomy fistulization has ever been reported in such patients, the authors recommend prophylactic appendicectomy also in the far more frequent cases of acute ileitis, to forestall the possibility of evolution into chronic Crohn's disease and the risk of missing a nongranulomatous acute appendicitis appearing with the same clinical symptoms.
