J.Jpn. Surg. Soc.. 86(9): 1324-1327, 1985

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Report on the annual meeting

SURGICAL TREATMENT OF CROHN’S DISEASE
―RECURRENCE AND PROGNOSIS IN OPERATED CASES―

We have experienced 40 cases of Crohn’s disease from 1970 to 1984 and surgical treatments were performed in 22 cases. Ileocolitis was found in 10, ileitis in 6, colitis in 5 and appendix was involved in 1 case. Postoperative follow-up is accomplished in all cases. Recurrences are confirmed in 7 cases (35％). Microscopic findings at the resected stump showed no significant difference in recurrent rate. Recurrence was found in 2 of 6 inflammatory positive cases (33％). And 5 were recurred in 13 negative cases (38％). Mean recurred time, however, is shorter in positive cases (1 Yr 10 Mos) compared with negative cases (4 yrs 7 Mos). We have performed intraoperative endoscopy for the decision of the scope of resection in recent 7 cases, of which 2 cases recurred (follow-up time : 6 years). Quality of life in operated cases was almost good except 1 recurrent case. Even if operated case is recurred, patients are easily managed and leading in satisfactory life.

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