[Surgical treatment of patients, suffering Crohn's disease].

In surgical clinic of Zakarpattya's Regional Clinic n. a. Andriy Novak (City of Uzhgorod) 43 patients were observed for complicated Crohn's disease (CD), in whom 79 operations were performed, including in 1 patient--8 interventions, in 10--on 3, in 5--on 2, and in others--on one. Not depending, that the recurrence occurrence rate is definitely high, at average in every 10 yrs for the patients reoperation is indicated, the surgical treatment, conducted in accordance to absolute indications, is considered as highly effective and a sole correct approach for elimination of severe complications of CD, what provides the life span enhancement and its quality rising. Absolute indications for surgical treatment of acute complications of CD are following: perforation, peritonitis, ileus, phlegmon, abdominal and retroabdominal abscesses, profuse bleeding, toxic dilatation of large bowel. Chronic complications of CD--inflammatory infiltrates with the internal organs compression; internal and external fistulas; intestinal stricture with signs of obturation ileus; recurrent paraproctitis; extrasphincteric fistulas; destruction of muscular carcass of anal sphincter.