When is resection of malignant bowl strictures indicated in the management of Crohn disease?

Updated: Jul 26, 2019
  • Author: Leyla J Ghazi, MD; Chief Editor: Praveen K Roy, MD, AGAF  more...
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Answer

About 7% of large bowel strictures in patients with long-standing Crohn disease are malignant; these should be surveyed with multiple biopsies and cytologic brushing for neoplastic transformation. [7] Resection is generally performed when strictures cannot be appropriately surveyed, if neoplastic changes are observed, or obstruction is persistent. [7]


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