臨床外科73巻12号

2018年11月発行

特集 炎症性腸疾患アップデート—いま外科医に求められる知識と技術

クローン病の手術手技

腸管狭窄を伴うクローン病に対する手術—狭窄形成術を中心に

著者： 舟山裕士¹ 高橋賢一² 渡辺和宏³ 鈴木秀幸³ 海野倫明³

所属機関： ¹仙台赤十字病院外科 ²東北労災病院大腸肛門外科 ³東北大学病院総合外科

ページ範囲：P.1384 - P.1388

文献概要

【ポイント】
◆クローン病の手術では短腸症候群を避けるために腸管温存を心がけ，minimal resectionおよび狭窄形成術を選択する．
◆急性炎症（蜂窩織炎），穿孔，膿瘍，瘻孔は，狭窄形成術の適応外である．
◆狭窄形成術は合併症が少なく安全で，長期予後は腸切除に匹敵する．

参考文献

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