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Clin Colon Rectal Surg 2025; 38(02): 085-095
DOI: 10.1055/s-0044-1786380
Review Article

Preoperative Optimization of Crohn's Patients before Abdominopelvic Surgery

Authors

  • Moustafa Moussally

    1   Department of Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, Ohio

  • Shirley C. Paski

    2   Department of Gastroenterology, Hepatology, and Human Nutrition, Cleveland, Ohio

  • Benjamin Cohen

    2   Department of Gastroenterology, Hepatology, and Human Nutrition, Cleveland, Ohio

  • Stefan D. Holubar

    1   Department of Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, Ohio

Funding None.
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Abstract

In this article, we review and identify modifiable risk factors associated with postoperative complications of Crohn's disease. We highlight the importance of factors such as nutrition, corticosteroids, immunomodulators, abscesses, ideal timing of surgery, and biologic and small-molecule therapy on surgical outcomes. Herein, we discuss the strategies for attenuating these risk factors. Special consideration is given to venous thromboembolism prophylaxis in this patient population.

Keywords

Crohn's disease - surgery - nutrition - venous thromboembolism - perioperative optimization

Note

S.D.H., consulting fees, Takeda; research funding, American Society of Colon and Rectal Surgeons, Crohn's and Colitis Foundation of America.




Publication History

Article published online:
25 April 2024

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