Long-Term Results of Surgical Treatment for Crohnʼs Disease of the Duodenum

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Abstract
To assess the long-term results of surgery for duodenal Crohn''s diseae, 11 patients, 10 surgically treated, were followed an average of 13.9 yr to assess the need for further treatment of duodenal disease; the activity of Crohn''s disease in other areas of the gastrointestinal tract and their functional status based on the Karnofsky Performance Scale (KPS). Follow-up indicates that 7 patients have required a total of 10 further operations directly related to duodenal Crohn''s disease. The indications for subsequent operations were marginal ulceration; obstruction at or in 1 limb of the gastrojejunostomy due to recurrent jejunal Crohn''s disease or stricturing at the gastrojejunostomy and 3 duodenal fistula. Eight of these 11 patients also required surgery for Crohn''s diseae in other areas of the gastrointestinal tract. Despite a high reoperative rate for Crohn''s disease in both the duodenum and other areas of the gastrointestinal tract, functional results, as tested by the KPS, can be satisfactory if appropriate reoperative surgery is done.