Should the diverting enterostomy for refractory anorectal Crohn′s disease be considered in advance?
10.3760/cma.j.cn101480-20230328-00041
- VernacularTitle:转流性造口治疗顽固性直肠肛管型克罗恩病的时机是否应该提前？
- Author:
Heng ZHANG
1
;
Donglin REN
Author Information
1. 中山大学附属第六医院普通外科（肛肠外科），广州 510655
- Publication Type:Journal Article
- Keywords:
Crohn′s disease, anorectal;
Enterostomy, diverting;
Surgrical timing;
In advance
- From:
Chinese Journal of Inflammatory Bowel Diseases
2023;07(3):227-232
- CountryChina
- Language:Chinese
-
Abstract:
The strategy of surgery combined with medical therapy has significantly improved the efficacy of anorectal Crohn′s disease. However, there is still a considerable proportion of patients with complex configuration who need to undergo diverting enterostomy, and even proctectomy followed by permanent stoma. Although diverting enterostomy is considered as an effective treatment for this disease, and the number of surgeries has been increasing year by year, most studies have demonstrated an inferior long-term efficacy. Based on clinical practice and literature review, the author′s team elucidates the treatment difficulties and prospects of diverting enterostomy in order to explore with clinicians.
