How are toxic megacolon and massive hemorrhage treated in Crohn disease?

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

Toxic megacolon and massive hemorrhage are much less common complications but may require urgent bowel resection when present. Total abdominal colectomy with a Hartmann pouch has been advocated for fulminant toxic megacolon; this allows future restoration of bowel continuity with a sphincter-preserving ileorectal anastomosis. However, a permanent ileostomy may ultimately be required to treat recurrent rectal disease. [136]


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