Gastroenterology MCQ Answer 12

Answer: b, c, e

The majority of patients with Crohn’s disease will recur. If recurrence is defined as alterations detected endoscopically, then 70% will recur within one year of surgery, and 85% within three years. However, in most of these patients clinical symptoms will not accompany the endoscopic or radiographic evidence of disease. A clinical recurrence (return of symptoms) confirmed as Crohn’s disease radiologically, endoscopically, or surgically, affects 20% of patients at two years, and 40–50% at four years after surgery. Reoperation becomes necessary in about 30% of the patients by five years. These statistics give impetus to maintain remission and prevent recurrence. Although it is common practice to stem recurrence with sulfsalazine, 5-ASA preparations, antibiotics, and possibly azathioprine, none of these (possibly excepting azathioprine) have definitely been proven effective.

Category: Gastroenterology MCQs