Elective laparascopic resection of stenotic lesion of the colon in Crohn's disease (case report)

Background: The incidence of acute, therapy resistant Crohn's disease as an indication of surgery has constantly been decreasing since introduction of anti-TNF biologics. However, surgery is still warranted for patients in remission with strictures and fibrotic stenosis without apparent clinical symptoms. These lesions may contribute to disease fare-ups as well as present considerable risk concerning long term management. Our patient: is a 47 year-old male subject with a 27 years' history of Crohn's Disease. Long term management in different institutions has been based on 5ASA therapy, without standard immunosup…