Prior Crohn's Disease Surgery Details
Surgery Details
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What was the category of the surgical procedure?
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What was the evaluation interval?
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What was the sub-category of the surgical procedure?
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If yes, what Crohn's disease related surgery was performed?
Choose
Abscess removal
Gastrointestinal fistula repair
Intestinal perforation repair
Colectomy with ileorectal anastomosis
Colostomy
Enterostomy
Duodenectomy
Ileectomy
Ileectomy with colectomy
Ileostomy
Jejunectomy
Jejunostomy
Proctocolectomy with end ileostomy
Proctocolectomy with ileal pouch-anal anastomosis (IPAA)
Sigmoidectomy
Subtotal colectomy
Surgical Stricturoplasty
Other
If Other, specify what type of surgery.
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What was the indication for the procedure?
Choose
Perforation
Abscess
Toxic dilation
Dysplasia
Obstruction
Stricture
Bleeding
Fistula
Intractable pain despite medical management
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What was the date of the Crohn's disease related surgery?
01 Jan 2000
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Was the ileocecal junction removed as part of this procedure?
No
Yes
GI Segments
[No information given about how to repeat this Field Group]
What was the sub-category of the test?
Select the intestinal segment that was impacted.
What was the extent of the resection of the selected gastrointestinal segment?
If resection of the gastrointestinal segment occurred and was not complete, provide the length in cm of the segment resected, if available.
What was the unit?
Choose
Esophagus
Stomach
Duodenum
Jejunum
Ileum
Cecum
Ascending colon
Transverse colon
Descending colon
Sigmoid colon
Rectum
Anus
Complete
Partial
No resection
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Mandatory field