American journal of surgery · 2001
Crohn's disease limited to the appendix.
СтатьяНазвание и аннотация: Перевод в очереди
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Prieto-Nieto I, Perez-Robledo J P, Hardisson D, Rodriguez-Montes J A, Larrauri-Martinez J, Garcia-Sancho-Martin L
Аннотация
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.
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.