Crohn's disease: A report of four cases.

概要

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Surgical treatment of Crohn's disease is still a controversial issue. We present four patients suffering from Crohn's disease, whose conditions have been improving by using conservative approach. <BR>Our patients inclulde a 26-year-old female, a 20y/o male, a 25y/o male and 22y/o female, complaining of a rectal stricture, perianal abscess, abdominal pain and ileocecalgia, respectively. At first, a diverting colostomy or a resection were recommened for active Crohn' s disease, but a low residue diet and SASP were given instead. Their conditions improved after a period of 6 months, 9, 7, and 9, respectively. All the patients have now returned to work. <BR>We have adopted a conservative approach to the management of these cases. This policy seems to be effective at present. A careful follow-up study is being done with these cases.