Surgery for Crohn's disease: upfront or last resort?
Gastroenterol Rep (Oxf)
; 10: goac063, 2022.
Article
in En
| MEDLINE
| ID: mdl-36381220
ABSTRACT
Crohn's disease (CD) can involve the entire gastrointestinal tract from the mouth to the anus and can lead to a constellation of symptoms. With the advancement of effective medical treatments for CD, a tendency has emerged to consider surgical treatment as a last resort. This potentially has the disadvantage of delaying surgery and if it fails might leave patients sicker, less well nourished, and with more severe complications. As with most non-malignant diseases, the choice of surgery vs medical treatment is a patient's personal preference under the guidance of the treating physician, except in extreme situations where surgery might be the only option. In this article, we will discuss the available evidence regarding the optimal timing of surgery in CD, focusing on whether early surgery can bring benefits in terms of disease control, symptom relief, and quality of life.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Type of study:
Guideline
Aspects:
Patient_preference
Language:
En
Journal:
Gastroenterol Rep (Oxf)
Year:
2022
Document type:
Article
Affiliation country:
United States