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Eric W. Fonkalsrud, MD; Marvin E. Ament, MD; David Fleisher, MD

Arch Surg. 1982;117(1):11-14.

Abstract
Sixty-six young patients (average age, 17.2 years) underwent intestinal operations for Crohn's disease during a 14-year period at the UCLA Hospital. Nine had undergone previous appendectomy for suspected appendicitis, and in seven subsequent enteric fistulae and/or obstruction involving the cecum developed. None of the appendices were acutely inflamed. During the same period, a total of 125 children with Crohn's disease underwent medical or surgical care, and in none did acute appendicitis develop. Of the 66 patients under 22 years old who required intestinal resection, 60 had removal of the cecum. In a child with ileal Crohn's disease, rarely should a normal appendix be removed because of the high likelihood of complications and the low incidence of subsequent appendicitis.

(Arch Surg 1982;117:11-14)

Author Affiliations
From the Departments of Surgery (Dr Fonkalsrud) and Pediatrics (Drs Ament and Fleisher), UCLA School of Medicine.

Footnotes
Accepted for publication June 19, 1981.

Read at the annual meeting of the Southern California Chapter of the American College of Surgeons, Santa Barbara, Calif, Jan 24, 1981.

Reprint requests to Department of Surgery, UCLA School of Medicine, Los Angeles, CA 90024 (Dr Fonkalsrud).

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