ÇOCUKLARDAKİ CROHN HASTALIĞINDA ERKEN CERRAHİ TEDAVİ YARARLI MI YOKSA ZARALI MI?

Amaç: Crohn hastalığı, çocuklarda giderek yaygınlaşan bir sağlık sorunudur. Bu hastalar uygun tedavi veya tedavi edilmediği takdirde komplikasyonlara sebep olabilmektedir. Bu çalışmada Crohn hastalığında şüphelenilen ve pelvik bölgede inflamasyon ile başvuran olgu literatür ile değerlendirilmiştir. Olgu: Crohn hastalığı şüphesi olan 11 yaşında kız hasta fakat yapılan laboratuvar testlerinde ve endoskopi ile alınan biyopsi ile tanı konulamamıştır. Bir buçuk ay antibiyotik kullanmasına rağmen karın içi inflamasyonu, abse ve enteroenterik fistülü devam etmiştir. Tanı için bize refere edilen hasta, Crohn hastalığı ön tanısıyla ameliyata alındı. Hastanın ameliyattaki makroskobik bulgular ve patoloji Crohn hastalığı ile uyumluydu. Sonuç: Cerrahi bazı koşullarda Crohn hastalığının tedavisi ve teşhisi için endikedir. Crohn hastalığının tedavisi multidsipliner bir ekip gerektirir.

Is Early Surgical Treatment of Crohn's Disease Harmful Or Beneficial In Children?

Objectives: Crohn’s disease is an increasingly common health problem in children. If untreated or treated inappropriately, it eventually results in complications. This report presents a case of suspected Crohn’s disease with inflammation of the pelvic region with a review of the literature. Case: An 11-year-old female was suspected of having Crohn’s disease, but laboratory tests and biopsy by endoscopy failed to confirm the diagnosis. She had intra-abdominal inflammation, an enteroenteric fistula, and an abscess that did not resolve despite antibiotic treatment for 1.5 months. She was referred to us for diagnosis. We performed surgery with a provisional diagnosis of Crohn’s disease; the pathology was consistent with Crohn’s disease. Conclusion: Surgery is indicated for the therapy and diagnosis of Crohn’s disease under certain conditions. The treatment of Crohn’s disease requires a multidisciplinary team.

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