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Crohn's Disease Surgical Planning Algorithm (ASCRS)

Crohn's Disease Surgical Planning Algorithm (ASCRS): Crohn's Disease: Surgical Candidate → Preoperative Optimization → Disease Location → Ileocolic Dise...

Interactive Decision Tree

Mini Map

Algorithm Steps

  1. ▶
    Start

    Crohn's Disease: Surgical Candidate

    1. ●
      Action

      Preoperative Optimization

      Nutrition, steroids wean if possible, abscess drainage

      1. ◆
        Decision

        Disease Location

        • Ileocolic
        • Small bowel
        • Colonic
        • Perianal
        1. ●
          Action

          Ileocolic Disease

          Most common surgical site

          1. ■
            End

            Ileocolic Resection

            Stapled side-to-side anastomosis

        2. ●
          Action

          Small Bowel Only

          Stricture pattern

          1. ■
            End

            Stricturoplasty

            Heineke-Mikulicz or Finney for multiple strictures

        3. ●
          Action

          Colonic Disease

          Segmental vs total involvement

          1. ■
            End

            Segmental Colectomy

            Avoid subtotal if possible

        4. ●
          Action

          Perianal Disease

          Abscess, fistula, stricture

          1. ■
            End

            EUA + Seton/Drainage

            Anti-TNF bridge to surgery

Guideline Source

ASCRS Clinical Practice Guidelines: Surgical Management of Crohn's Disease

DOI: 10.1097/DCR.0000000000002323View Guideline

Clinical Safety Information

Clinical Decision Support — Not a Substitute for Clinical Judgment

Individual patient factors may require deviation from these recommendations.

Known Limitations

  • Crohn's recurs after surgery - bowel preservation critical
  • Anastomotic leak risk higher in Crohn's
  • Nutritional optimization before elective surgery

Applicable Regions

USAUUKEU

EU: ECCO surgical guidelines

US: ASCRS guidelines

Version 1Next review: 2028-01-01

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Acute Thrombosed External Hemorrhoid Management (ASCRS 2024)

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Anastomotic Leak Management Algorithm (ASCRS)

Management

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Frequently Asked Questions

What is the Crohn's Disease Surgical Planning Algorithm (ASCRS)?

The Crohn's Disease Surgical Planning Algorithm (ASCRS) is a management clinical algorithm for Colorectal Surgery. It provides a structured decision tree to guide clinical decision-making, based on ASCRS Clinical Practice Guidelines: Surgical Management of Crohn's Disease.

What guideline is the Crohn's Disease Surgical Planning Algorithm (ASCRS) based on?

This algorithm is based on ASCRS Clinical Practice Guidelines: Surgical Management of Crohn's Disease (DOI: 10.1097/DCR.0000000000002323).

What are the limitations of the Crohn's Disease Surgical Planning Algorithm (ASCRS)?

Known limitations include: Crohn's recurs after surgery - bowel preservation critical; Anastomotic leak risk higher in Crohn's; Nutritional optimization before elective surgery. Individual patient factors may require deviation from these recommendations.

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