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Surgical treatment of intestinal BehÇet's disease

Authors
 Kyong Sik Lee  ;  Sei Joong Kim  ;  Byung Chan Lee  ;  Dong Sup Yoon  ;  Woo Jung Lee  ;  Hoon Sang Chi 
Citation
 YONSEI MEDICAL JOURNAL, Vol.38(6) : 455-460, 1997 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
1997
MeSH
Adolescent ; Adult ; Behcet Syndrome/surgery* ; Child ; Female ; Humans ; Intestinal Diseases/surgery* ; Male ; Middle Aged ; Postoperative Complications ; Recurrence
Abstract
From 1983 to 1994, we diagnosed 37 cases of intestinal BehÇet's disease and performed operations on 26 patients at the Surgical Department of Yonsei University Medical Center. Sixty percent of patients were in their teens and twenties (mean age: 36.4 years). Preoperative diagnosis of BehÇet's disease was correctly made in only 8 cases (30%). In 32 cases (86.5%), the lesion was localized regardless of the number of ulcers. A solitary ulcer was observed in 22 cases (60%), while multiple ulcers were present in 15 cases. A recurrence after the initial operation was observed in 12 patients (46.1%) and reoperation was performed 19 times. Fifty percent of recurrence developed within 2 years after each operation. The type of operation, the location of lesion and the number of ulcers did not appear to be related to the recurrence. As a preoperative diagnosis is difficult and the recurrence rate is high, post- operative periodic follow-up with radiography and endoscopy are strongly recommended. At the time of operation, the entire bowel should be examined and bowel resection should include a generous normal resection margin as well as skip lesions.
Files in This Item:
T199702608.pdf Download
DOI
10.3349/ymj.1997.38.6.455
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Yoon, Dong Sup(윤동섭) ORCID logo https://orcid.org/0000-0001-6444-9606
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/177446
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