Problems in the Surgical Management of Crohn's Disease of the Colon

Differences in the natural history of ulcerative colitis and colonic Crohn's disease which influence the choice and type of surgical treatment are discussed. The progressive nature of Crohn's disease is stressed. Drugs employed in the medical management of the disease are described with particular attention being drawn to their importance during surgical treatment. The indications for surgical treatment are outlined. Important complications of the disease, which we have encountered, are described. The types of surgical treatment employed in 35 patients with Crohn's disease of the colon treated during the last 2% years are presented with some details of the operative technique we have found to be important. No patient has died and the results have been good