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Surgery of Crohn's disease depends on various factors. A lower GI surgeon or colorectal surgeon can explain the patient after investigations like MRI and CT. Extent of Crohn's disease Length of stricture location of the disease previous disease Previous surgery Nutrition status of the patient Patients general condition If patients are on steroids conservative surgery may be required
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Colorectal Surgeon, Gastrointestinal Surgeon, General Surgeon
Some people taking Azathioprine have high levels of 6MMPN compared to 6TGN after taking AZA related to their TPMT status metabolism . ^ MMPN is hepatotoxic and increasing Azathioprine is risky. Adding Allopurinol allows these patients to increase their 6TGN levels which help control crohns.
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