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Clin Colon Rectal Surg
DOI: 10.1055/s-0044-1786197
Review Article

The Surgical Management of the Mesentery in Crohn's Disease

J.C. Coffey
1   School of Medicine, Education Health Sciences Faculty, University of Limerick, Limerick, Ireland
2   Department of Surgery, University of Limerick Hospital Group, Limerick, Ireland
,
M.L. Devine
1   School of Medicine, Education Health Sciences Faculty, University of Limerick, Limerick, Ireland
2   Department of Surgery, University of Limerick Hospital Group, Limerick, Ireland
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Abstract

Increasing evidence suggests that Crohn's disease is a primary mesenteropathy and that resection of the mesentery, or its exclusion from an anastomosis, may alter disease progression. If borne out in clinical trials, this observation would be welcome, as current pharmacotherapeutic approaches to Crohn's disease appear to have limited effect on disease progression. This article explores arguments for and against the alteration of mesenteric inputs by surgical means, in Crohn's disease.

Keywords

Crohn's disease - mesentery - resection - Kono-S - recurrence


Publication History

Article published online:
10 May 2024

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