Crohn’s Disease: Surgical Management

Lisa M. Cannon, Alessandro Fichera

Key Concepts

  • Despite significant advances in medical management, surgery for Crohn’s disease remains a vital component of many treatment paradigms.
  • Optimal timing of surgery is critical in order to achieve the best outcome.
  • Preoperative patient optimization is of critical importance.
  • The surgeon treating Crohn’s disease should be familiar with bowel-sparing principles and properly apply them while not compromising long-lasting remissions.
  • Different anastomotic configurations should be considered based on severity and location of the disease.
  • For all the abovementioned aspects, Crohn’s disease requires a multidisciplinary approach to achieve optimal and lasting outcomes.
  • Risk stratification should guide postoperative medical management.

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Last updated: January 26, 2022