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    The adage a chance to cut is a chance to cure does not apply to Crohn’s disease since surgery is not a cure for Crohn’s disease. There is considerable experience with strictureplasty and advancement flap surgery , besides resection and abscess drainage. The main goal of surgery is to treat the most important problem while preserving as much bowel as possible. Wide resection margins are not associated with decreased recurrence and should be avoided.

    15. What are the indications for surgery in Crohn’s disease?. The indications for surgery include active inflammatory-type disease refractory to medical therapy, prednisone dependence, intestinal strictures, fistulas, abscesses, growth retardation, bleeding, perforation, severe anorectal disease, dysplasia, and cancer. A close working relationship between the internist/gastroenterologist and colorectal surgeon is extremely important for controlling disease and decreasing morbidity.

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