Is There a Role for Ileal Pouch Anal Anastomosis in Crohn's Disease?

回肠储袋肛门吻合术在克罗恩病中是否发挥作用?

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Abstract

Traditionally, surgical interventions for colonic Crohn's disease (CD) have been limited to total abdominal colectomy and ileorectal anastomosis, or total proctocolectomy with end ileostomy if there is rectal involvement. However, improved understandings of the biology of CD, as well as the development of biologic therapies, have enabled more limited resections. Here, we review the indications for, and limitations of, specific procedures aiming to preserve intestinal continuity in colonic CD.

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