:Recurrence and Prognosis in Operated Cases

概要

論文の詳細を見る
We have experienced 24 cases of Crohn's disease from 1970. 1. to 1983. 4. and surgical treatments were performed in 18 cases. Ileo-colitis were found in 8, ileitis in 5, colitis in 4 and appendix was involved in 1 case. Postoperative follow-up is accomplished in 17 cases (mean follow-up time 3Yrs 8Mos). Recurrences are cofirmed in 5 cases (29%, mean postoperative duration 4Yrs 6Mos). Crohn were recurred in 4 (50%) of ileocolitis group, 1 (25%) of colitis group and none of ileitis group. As for microscopic findings as the resected stump, there seems not to be significane difference in recurrence rate. Recurrences were found in 2 of 6 inflammatory positive cases (33%). And 3 were recurred in 11 negative cases (27%). Mean recurred time, however, is shorter in posotive cases (1Yrs 10Mos) compared with negative cases (5Yrs 11Mos). We performed intraoperative endoscopy to decide on the site of resection in recent 6 cases. These cases show no remarkable signs of recurrence and this modality is thought to be valuable, although their follow-up time is not satisfactory.
日本大腸肛門病学会の論文