Sunday, April 29, 2012

Saturday Study: Saturday Study: Primary and Recurrent Crohn’s Disease. Experience with 1379 Patients

In this study from the Annals of Surgery in 1991 by Fabrizio Michelassi at the time at University of Chicago (he is now at Cornell University) from the period of 1970-1998 1379 patients with Crohn’s were studied. In 92% of patients a surgical resection was necessary. What I found interesting was that only 7% of patients needed a permanent stoma. I know many who suffer from Crohn’s that are worried about getting a stoma. Also these people were studied in the 1970’s and 1980’s. Since then treatment has improved and the quality of surgeries has improved. The recurrence rate for patients was 20% in 5 years while 34% at the end of a decade. This shows that the chance of surgery rises with time. Also if more than one site is involved then it increases the chances of having recurring surgery.

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