Ileal Crohn's disease is best treated by surgery

Farthing, Michael J G (2002) Ileal Crohn's disease is best treated by surgery. Gut, 51 (1). pp. 13-14. ISSN 0017-5749

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Burrill 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.

Item Type: Article
Schools and Departments: Brighton and Sussex Medical School > Clinical and Experimental Medicine
Depositing User: Adam Tickell
Date Deposited: 07 Feb 2012 15:52
Last Modified: 31 Jul 2012 08:33
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