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Ileal Crohn's disease is best treated by surgery
journal contribution
posted on 2023-06-08, 10:13 authored by Michael J G FarthingBurrill Crohn et al in 1932 stated that “medical therapy is purely palliative and supportive . . ... but in general the proper approach to complete cure is by surgical resection . . ..”. However, by 1987 Bryan Brooke, a committed and creative inflammatory bowel disease surgeon, recognised that “the surgical stance is now one of reluctance . . . operation is withheld as a last resort when all else has failed to achieve palliation or support”. Thus over half a century the surgical view radically changed from reckless enthusiasm to one of extreme conservatism. However, there has always been a fascination with the idea that early resection of localised ileal disease might result in long lasting remission and avoid unwanted complications that would inevitably lead to surgery.
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Publication status
- Published
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GutISSN
0017-5749Publisher
BMJ Publishing GroupExternal DOI
Issue
1Volume
51Page range
13-14Department affiliated with
- Clinical and Experimental Medicine Publications
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- No
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- Yes
Legacy Posted Date
2012-02-07Usage metrics
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