Crohn's Disease: The Complete Guide to Medical Management

Gary R. Lichtenstein, MD, FACP, FACG, AGAF

Chapter 34: Medical Therapy of Diarrhea Following Bowel Resection (continued)

Henry J. Binder, MD

Concepts of surgery in CD have significantly changed in the past quarter century. In a prior era, multiple intestinal resections as well as “by-pass” operations of segments of small intestine were frequently performed often resulting in short bowel syndrome and intestinal failure (see Chapter 35). More recently, because of the high rate of recurrence of CD in the operated patient (despite removal of all evidence of disease), standard surgical principles emphasize that “less is better.” As a result, more limited resections are often performed with much more stringent…