International Session（Symposium）3(JSGE・JGES・JSGS・JSGCS)
Thu. November 5th   14:00 - 17:00   Room 11: Portopia Hotel South Wing Topaz
IS-S3-7_G
 Pre- and postoperative management of Crohn's disease
Yong Beom Cho
Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine
Despite improvements in medical therapies for Crohn’s disease (CD), up to 70% of patients require surgery within 10 years of diagnosis. Postoperative management strategies to prevent recurrence have improved substantially. Nevertheless, many patients require multiple operations. Postoperative complications are seen frequently in patients with CD. In this lecture, I will talk about the evidence supporting preoperative optimization, discussing strategies that potentially improve surgical outcomes and reduce perioperative morbidity and mortality. I will discuss the roles of nutritional optimization, appropriate adjustments of medical therapy, management of preoperative abscesses and phlegmons, smoking cessation and thromboembolic prophylaxis. Also I will talk about operation-related factors and their potential implications with respect to postoperative complications.
Preoperative patient optimization for CD surgery is complex and requires a multidisciplinary approach.
Index Term 1: Crohs's disease
Index Term 2: perioperative management
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