What is the role of surgery in the management of pediatric Crohn disease?

Updated: Oct 23, 2018
  • Author: Andrew B Grossman, MD; Chief Editor: Carmen Cuffari, MD  more...
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Indications for surgery include the following:

  • Intractable disease with growth failure

  • Obstruction or severe stenosis

  • Abscess requiring drainage

  • Perianal fistulae

  • Intractable hemorrhage

  • Perforation

Features of surgery are as follows:

  • Recurrence of disease at the anastomotic site is common after resection

  • Surgical treatment for Crohn disease is not curative

  • Laparoscopic techniques are becoming the standard of care [8]

See Treatment and Medication for more detail.

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