Showing posts with label Crohn's Disease Complications. Show all posts
Showing posts with label Crohn's Disease Complications. Show all posts

Monday, June 23, 2014

Crohn's Disease Surgery

Crohn's Disease Surgery
In as much as surgery is often done as a way of addressing Crohn’s disease, this does not mean that it is a cure. Only a small section of ones small intestines should be removed to restore normal functions in case a Crohn’s disease surgery is needed. But the disease has a tendency of returning to the unaffected areas making it possible that you will still require surgery again.


But in the case that no medicine can control your symptoms, then that is when Crohn’s disease surgery is needed. In addition, surgery may be needed if you have serious medicines side effect or may be in the process of treatment your developed complications among them fistulas, or bowel obstructions. In essence, surgery may be needed in the following cases:


v  Blockage of the bowel or obstruction


v  anal tears or fissures


v  Perforations in the large intestines


v  Cancer tissue


v  Severe disease that is failing to treatment response.


v  Severe bleeding that needs ongoing transfusions of blood.


However, it is important that you put surgery choices into consideration. It is good that it is usually done for Crohn’s disease but let us again go through on what you can think about. Surgery can improve a child’s well-being and basically quality of life and as well restore normal growth and sexual development. It is in rare cases that intestinal transplant is used in the treatment of Crohn’s disease. But the intestine is always removed and replaced with another person’s small intestines that maybe recently died and apparently donated his or her organs. But then what are the consideration points?


There are always choices on surgery. A resection process where by the diseased portion of the intestine is hived off and the intestine healthy end reattached is one. This always does not cure and in most cases leaves room for the cancer to reappear in another place. Strictureplasty surgery is where a lengthwise cut in the intestine is made by the surgeon who then sews the opening in the opposite direction together. This is always done when the doctor wants to salvage as much as of the intestine as possible.  If the surgeon removes the large intestine and rectum and then leave the lower end of the small intestine, this will then be the proctocolectomy and ileostonomy. Always the anus is sealed and a small opening called stoma made on the skin of the lower abdomen. A process that allows the doctor run an endoscope in the intestine normally referred to as balloon dilation but it is a process yet to be established well enough.






Crohn's Disease Prognosis

Crohn's Disease Prognosis
Crohn's disease causes inflammation of the intestines. It could affect any part of the gastrointestinal tract. The disease is also known as regional enteritis and granulomatous colitis. When persons are affected with Crohn's disease, their autoimmune system attacks the organs of the digestive system swelling them. Medical scientists say that Crohn's disease has genetic links, as the disease is common with siblings whose parents have earlier suffered from the disease.



Crohn's disease has many symptoms. Mainly, it causes stomach pain, diarrhea, vomiting, and weight loss. All the same, symptoms such as skin rashes, eye inflammation and arthritis, which are outside the gastrointestinal tract, are also found. Patients of Crohn's disease may have symptoms for years unknown to them. Usually, the disease affects people when they are in the 15 - 30 age group though it can affects all other age groups as well.



People suffering with Crohn's disease give out many systemic symptoms as well. Growth stagnation is common with children who suffer with the disease. In addition, Acute Myelogenous leukemia and lymphoma can also be seen. Children with Crohn's disease are mainly diagnosed, as they have unusual growth malfunctions.



Retardation of this type can be seen up to 30 percent of children who suffer from Crohn's disease. There may be recurrent fever although this may not be significant with high temperature onsets unless the patient has severe complications such as abscess. Elder patients normally suffer weight loss. This happens, as they are reluctant to take food.



As mentioned earlier, Crohn's disease may affect other organs as well. Eye inflammation (uveitis) is one of the common effects, which gives eye pain whenever the patients look at lights. The inflammation could affect the white part of the eye called sclera as well. This condition is called episcleritis. Both these conditions may cause permanent blindness if they are not treated soon.



In addition, Crohn's disease can cause seronegative spondyloarthorpathy, a type of rheumatologic disease. With this, patients suffer from arthritis or enthesitis. The inflammation of joints may affect large joints as well as small joints such as in the knees, shoulders, and joints of hand and feet. It may affect the spine causing ankylosing spondylitis or one part of spine known as sacroiliitis.



American gastroenterologist Burrill Bernard Crohn first described the disease in 1932. He and his two colleagues found many patients who had inflammation with their terminal ileum and because of this reason the disease was also named regional ileitis. A permanent medicinal or surgical cure for Crohn's disease is yet to be found. Nonetheless, administering the right medications can control the disease.