Podcast
Questions and Answers
What is the likelihood of free perforation in patients with CD?
What is the likelihood of free perforation in patients with CD?
- Around 5%
- More than 15%
- Approximately 10%
- Less than 1% (correct)
What is the usual indication for urgent operation in cases of free perforation in CD?
What is the usual indication for urgent operation in cases of free perforation in CD?
- Surgical resection with exteriorization (correct)
- Antibiotic therapy
- Nonoperative management
- Percutaneous drainage
How is the diagnosis of free perforation in CD confirmed?
How is the diagnosis of free perforation in CD confirmed?
- Identifying a sudden change in the patient's symptoms
- Endoscopy and biopsy
- Plain x-rays or CT scan showing free intraperitoneal air (correct)
- Developing the physical findings of peritonitis
What is the consequence of successful drainage of an abscess in cases where a fistula persists?
What is the consequence of successful drainage of an abscess in cases where a fistula persists?
What complication is likely to result from percutaneous drainage of an abscess?
What complication is likely to result from percutaneous drainage of an abscess?
What is the main indication for urgent operation in the case of free perforation in patients with Crohn's disease?
What is the main indication for urgent operation in the case of free perforation in patients with Crohn's disease?
Why is the index of suspicion for perforation higher in immunocompromised patients?
Why is the index of suspicion for perforation higher in immunocompromised patients?
Why is creation of a primary anastomosis with a proximal protecting loop ileostomy avoided in free perforation cases?
Why is creation of a primary anastomosis with a proximal protecting loop ileostomy avoided in free perforation cases?
How is the diagnosis of free perforation confirmed?
How is the diagnosis of free perforation confirmed?
What is the rare complication of Crohn's disease occurring in less than 1% of patients?
What is the rare complication of Crohn's disease occurring in less than 1% of patients?
What is the result of the inflammatory response around the advancing sinus tract?
What is the result of the inflammatory response around the advancing sinus tract?
What is the main characteristic of a stricturing pattern of Crohn's disease?
What is the main characteristic of a stricturing pattern of Crohn's disease?
What is typically accompanied by a degree of stricture formation in perforating Crohn's disease?
What is typically accompanied by a degree of stricture formation in perforating Crohn's disease?
What is uncommon due to the inflammatory response around the advancing sinus tract in perforating Crohn's disease?
What is uncommon due to the inflammatory response around the advancing sinus tract in perforating Crohn's disease?
What dominates the clinical picture in cases of perforating Crohn's disease?
What dominates the clinical picture in cases of perforating Crohn's disease?
What is the characteristic feature of the perforating pattern of Crohn's disease?
What is the characteristic feature of the perforating pattern of Crohn's disease?
How do patients with a perforating pattern of Crohn's disease typically present?
How do patients with a perforating pattern of Crohn's disease typically present?
Which of the following is NOT a feature of the perforating pattern of Crohn's disease?
Which of the following is NOT a feature of the perforating pattern of Crohn's disease?
What is the primary consequence of the sinus tracts in the perforating pattern of Crohn's disease?
What is the primary consequence of the sinus tracts in the perforating pattern of Crohn's disease?
Which therapeutic option is often required for patients with a perforating pattern of Crohn's disease?
Which therapeutic option is often required for patients with a perforating pattern of Crohn's disease?
Why should primary closure of perforation not be attempted in the case of diseased bowel?
Why should primary closure of perforation not be attempted in the case of diseased bowel?
What effect does distal intestinal stenosis or partial obstruction have on primary closure of perforation?
What effect does distal intestinal stenosis or partial obstruction have on primary closure of perforation?
Why is elective resection of areas of Crohn's disease recommended in cases of bleeding from the small bowel?
Why is elective resection of areas of Crohn's disease recommended in cases of bleeding from the small bowel?
What is a suggested risk factor for small bowel adenocarcinoma in patients with Crohn's disease?
What is a suggested risk factor for small bowel adenocarcinoma in patients with Crohn's disease?
Why is the diagnosis of adenocarcinoma of the small bowel difficult in patients with Crohn's disease?
Why is the diagnosis of adenocarcinoma of the small bowel difficult in patients with Crohn's disease?
What is the most commonly performed strictureplasty for short segment strictures of 2-5 cm in length?
What is the most commonly performed strictureplasty for short segment strictures of 2-5 cm in length?
What type of strictureplasty can be used for strictures up to 15 cm in length?
What type of strictureplasty can be used for strictures up to 15 cm in length?
What is the potential risk associated with a very long Finney strictureplasty?
What is the potential risk associated with a very long Finney strictureplasty?
What should be examined closely during the Heinecke-Mikulicz strictureplasty to rule out an uncommon complication?
What should be examined closely during the Heinecke-Mikulicz strictureplasty to rule out an uncommon complication?
In essence, what kind of functional anastomosis is the Finney strictureplasty?
In essence, what kind of functional anastomosis is the Finney strictureplasty?
What is the best indirect evidence for the presence of an enterovesical fistula as noted on CT scan?
What is the best indirect evidence for the presence of an enterovesical fistula as noted on CT scan?
What is the controversy regarding surgical treatment of ileovesical fistulae?
What is the controversy regarding surgical treatment of ileovesical fistulae?
What is the primary surgical requirement for the treatment of ileovesical fistulae?
What is the primary surgical requirement for the treatment of ileovesical fistulae?
Where do most ileovesical fistulas usually occur in the bladder?
Where do most ileovesical fistulas usually occur in the bladder?
What is the reason for continuing decompression of the bladder postoperatively with a Foley catheter?
What is the reason for continuing decompression of the bladder postoperatively with a Foley catheter?
What is the purpose of a postoperative cystogram following surgical repair of a bladder defect?
What is the purpose of a postoperative cystogram following surgical repair of a bladder defect?
In which patients do enterovaginal and enterocutaneous fistulas typically occur?
In which patients do enterovaginal and enterocutaneous fistulas typically occur?
What is a potential risk associated with enterovesical fistulas if left untreated?
What is a potential risk associated with enterovesical fistulas if left untreated?
What does air within the bladder, as noted on CT scan, often indicate?
What does air within the bladder, as noted on CT scan, often indicate?
