Abstract
Crohn's Syndrome is a chronic inflammatory disease of the gastrointestinal tract, characterized by periods of activity and remission, which can result in serious complications, such as strictures, fistulas and abscesses. Although initial treatment involves the use of medication, a significant portion of patients with Crohn's Syndrome end up requiring surgical interventions. In this context, the integrated approach between anesthesia and general surgery plays a fundamental role, ensuring not only the effectiveness of the surgical procedure, but also the safety and well-being of the patient. Objective: To discuss the main considerations involved in the anesthetic and surgical management of Crohn's Syndrome, highlighting the importance of an integrated approach to optimize clinical results and patients' quality of life. Methodology: The Cochrane, Scielo and Medline databases were used, with articles published between 2017 and 2023, available in English or Portuguese. Final Considerations: In view of the complexity of Crohn's Syndrome, an integrated approach between anesthesia and general surgery is essential to ensure successful surgical results and a better quality of life for patients. Furthermore, customizing the treatment plan, considering each patient's individual needs, and ongoing education about the disease are crucial to optimizing long-term results.
References
De Ciências Da Saúde A, Paulo S. DOENÇA DE CROHN, DIAGNÓSTICO E TRATAMENTO CROHN’S DISEASE, DIAGNOSIS AND TREATMENT. 2016;4:31–50. Available from: https://revistaseletronicas.fmu.br/index.php/ACIS/article/download/1179/1059/0
De D, Guilherme C, Sander B, Angélica M, Ferreira P, Fernando C, et al. Protocolo Clínico e Diretrizes Terapêuticas Portaria SAS/MS no 966, de 2 de outubro de 2014 [Internet]. Available from: https://www.gov.br/conitec/pt-br/midias/protocolos/doencacrohn.pdf
de Groof J, Bemelman W, Eshuis E, Gardenbroek T, Bossuyt P, Bosmans J, et al. OP015 Cost-effectiveness of laparoscopic ileocecal resection versus infliximab treatment of terminal ileitis in Crohn’s disease: the LIR!C TRIAL. Journal of Crohn’s and Colitis. 2017 Jan 26;11(suppl_1):S9–10.
Doença De C, Rev, Med. DOENÇA DE CROHN. [cited 2024 Feb 20];67:14–8. Available from: https://www.revistas.usp.br/revistadc/article/viewFile/58301/61309
Habr-Gama A, Thadeu C, Cerski S, Paulo J, Moreira T, Márcio N, et al. DIRETRIZES EM FOCO autoria [Internet]. 2008. Available from: https://www.scielo.br/j/ramb/a/DymjtkjZBfBrKxnSHJwyT6v/?format=pdf&lang
João Batista Tajra, José Ulisses Calegaro, Marques S, Dannilo Brito Silveira, Liliana Moscoso Ribeiro, Stefane Mariano Crispim, et al. ASSESSMENT OF RISK FACTORS FOR SURGERY TREATMENT OF CROHN’S DISEASE: A HOSPITAL COHORT. 2023 Jan 1;36.
Loftus E, Regueiro M, Sands BE, Magro F, Lakatos P, Lacerda A, et al. S7 Efficacy of Upadacitinib in Patients With One or More Prior Surgical Procedures for Crohn’s Disease: A Post Hoc Analysis of U-EXCEL, U-EXCEED, and U-ENDURE Phase 3 Trials. Official journal of the American College of Gastroenterology | ACG [Internet]. 2023 Dec 1 [cited 2024 Jan 20];118(12S):S3. Available from: https://journals.lww.com/ajg/fulltext/2023/12001/s7_efficacy_of_upadacitinib_in_patients_with_one.8.aspx
Neto G da SF, Damasceno IA de M. Doença de Crohn e suas particularidades: uma revisão de literatura. Research, Society and Development [Internet]. 2023 May 26;12(5):e26112541923–e26112541923. Available from: https://rsdjournal.org/index.php/rsd/article/view/41923/33909
Papacosta NG, Nunes GM, Pacheco RJ, Cardoso MV, Guedes VR. DOENÇA DE CROHN: Revista de Patologia do Tocantins [Internet]. 2017 Jun 20;4(2):25–35. Available from: https://sistemas.uft.edu.br/periodicos/index.php/patologia/article/view/3614/9740
Zhang D, Yang L, Liu G, Yuan L. Surgical strategies for intestinal Crohn’s disease. Zhong Nan Da Xue Xue Bao Yi Xue Ban [Internet]. 2022 [cited 2024 Jan 19];902–9. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-36039587

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Copyright (c) 2024 Letícia Basuino, Camilla Bandeira Oliveira Coelho, Katherine Iaremchuc , Marco Antônio Penachini da Costa , Rafael Pinto Nogueira , Marcos Fernando Neiva de Alencar Lustosa Rocha , Beatriz Oliveira junqueira Franco , Bruna Prado Parazzi , Vinícius Coelho Pereira de Souza , David Barbosa de Brito , Fernanda Freire Dantas Portugal , Gabriela de Lima Ferreira Lucena, Vitória Miranda Cardoso de Moraes