A changing trend in the management of patients with newly diagnosed Crohn's disease.
Authors
Qasim, AUllah, N
Crotty, P
Swan, N
Breslin, N
Ryan, B
Torreggiani, W
Eguare, E
Neary, P
O'Connor, H
O'Morain, C
Affiliation
Adelaide and Meath Hospital, Tallaght/Trinity College, Dublin, Ireland., asgharqasim@yahoo.co.ukIssue Date
2012-02-01T10:48:03ZMeSH
AdolescentAdult
Aged
Colectomy/*statistics & numerical data
Crohn Disease/epidemiology/mortality/pathology/*surgery
Female
Humans
Incidence
Male
Middle Aged
Young Adult
Metadata
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Ir J Med Sci. 2011 Sep;180(3):643-7. Epub 2011 Mar 23.Journal
Irish journal of medical scienceDOI
10.1007/s11845-011-0706-4PubMed ID
21431393Abstract
BACKGROUND: Epidemiologic shift with rising incidence of Crohn's disease (CD) has been reported in recent studies. AIMS: To determine disease behaviour and therapeutic interventions undertaken in newly diagnosed patients with CD. METHODS: Patients diagnosed with CD between January 2006 and June 2008 were included. Disease type, location, degree of involvement and type of therapeutic interventions were recorded. RESULTS: A total of 78 patients were included. Colonic, ileo-colonic, terminal ileal and isolated small bowel disease were present in 37, 27, 9 and 5 patients, respectively. Disease phenotype was inflammatory, stenosing and fistulising in 42, 30 and 6 patients, respectively. Surgery was required in 22 patients, including right hemicolectomy (n = 8), subtotal colectomy (n = 4), segmental colonic resection (n = 2), segmental small bowel resection (n = 2), appendectomy (n = 2) and perianal surgery (n = 4). Fourteen patients underwent surgery at the time of diagnosis. Laparoscopic surgery was performed in 14 patients. CONCLUSIONS: A significant proportion of newly diagnosed patients with CD underwent surgical intervention on their first admission to hospital. This may signify a changing trend in the management approach.Language
engISSN
1863-4362 (Electronic)0021-1265 (Linking)
ae974a485f413a2113503eed53cd6c53
10.1007/s11845-011-0706-4
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