Crohn's disease limited to the appendix
| Autor: | Luis Garcia-Sancho-Martin, Isabel Prieto-Nieto, Javier Larrauri-Martinez, José Antonio Rodríguez-Montes, Juan Pedro Pérez-Robledo, David Hardisson |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Enterocutaneous fistula
Adult Male medicine.medical_specialty Adolescent Disease Appendix Diagnosis Differential Postoperative Complications Crohn Disease Recurrence medicine Appendectomy Cecal Diseases Humans Child Vermiform Crohn's disease business.industry Incidence (epidemiology) General Medicine University hospital medicine.disease Appendicitis digestive system diseases Surgery medicine.anatomical_structure Acute appendicitis Female business |
| Zdroj: | American journal of surgery. 182(5) |
| ISSN: | 0002-9610 |
| Popis: | Background: Crohn’s disease confined to the vermiform appendix is rare. In our study, the incidence was 0.2% of all patients diagnosed with Crohn’s disease at La Paz University Hospital, Madrid, Spain, in 20 years. Methods: Here we review the clinical records of 10 patients with isolated appendiceal Crohn’s disease. Results: Preoperative diagnosis was acute appendicitis in all 10 cases, and all patients underwent appendectomy. Postoperative complications were limited to an enterocutaneous fistula in 1 patient. There was no evidence of recurrence during a mean follow-up period of 14.5 years (range 2 to 25 year). Conclusions: We conclude that Crohn’s disease when confined to the appendix is less aggressive than in other sections of the intestine, with a low recurrence rate and incidence of postoperative fistula. |
| Databáze: | OpenAIRE |
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