What are preoperative steps for resection in patients with Crohn disease?

Updated: Jul 26, 2019
  • Author: Leyla J Ghazi, MD; Chief Editor: Praveen K Roy, MD, AGAF  more...
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Preoperatively, a recent evaluation of the extent of intestinal disease with appropriate radiologic and endoscopic studies is essential. Steroids are tapered as much as is tolerable, and the patient’s nutritional status is optimized.

In cases where stomas may be required, preoperative counseling better prepares the patients and their families for this possibility. A stomal therapist or nurse should be involved with patient care before the surgical procedure. Patients should also be counseled about the expectations of surgery, because future recurrences are likely.

Most patients will have received corticosteroids recently. Therefore, perioperative steroid dosing will likely be required.

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