Rush University Medical Center Review of Surgery by Velasco Jose M

Author:Velasco, Jose M. [Velasco, Jose M.]
Language: eng
Format: mobi, epub
ISBN: 9781437736380
Publisher: Elsevier Health Sciences
Published: 2011-05-11T00:00:00+00:00

Comments

If a normal appendix is found at the time of laparotomy, other causes should be sought. If Crohn’s disease is encountered and the cecum and base of the appendix are normal, an appendectomy should be performed. If the base is involved with Crohn’s disease, appendectomy should be avoided. If the areas involved with Crohn’s disease are not complicated by perforation or obstruction, bowel resection is not indicated and medical therapy should be instituted. However, in the case of perforation or high-grade obstruction from a fibrotic segment, the involved bowel should be resected.

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