A prospective, longitudinal study of nonconventional strictureplasty in Crohn's disease

Journal of the American College of Surgeons
Gianluca M SampietroAngelo Maria Taschieri

Abstract

Bowel-sparing techniques have been proposed to avoid extended or repeated resections in patients with Crohn'rsquo;s disease (CD), but without precise indications, prospective evaluation, and with a technically limited repertoire. A prospective longitudinal study of new nonconventional strictureplasties (NCSP) in order to evaluate the safety, type and site of recurrence, and longterm clinical and surgical efficacy. Between January 1993 and December 2002, 102 among 305 consecutive patients underwent at least one NCSP for complicated CD. Patients were treated following precise indications and then included in a prospective database with scheduled followup. Factors claimed to influence postoperative and longterm outcomes and type and site of recurrence were analyzed. We performed 48 ileoileal side-to-side isoperistaltic strictureplasty (SP), 41 widening ileocolic SP, 32 ileocolic side-to-side isoperistaltic SP, associated with Heineke-Mikulicz SP (in 80 procedures) or with minimal bowel resections or both (in 47 procedures). Postoperative mortality was nil; complication rate was 5.7%. Ten years clinical and surgical recurrence rates were 43% and 27%, respectively. Recurrence rate on an NCSP site was 0.8%. No specific factor was ide...Continue Reading

References

Apr 1, 1989·The British Journal of Surgery·T C DehnD P Jewell
Nov 1, 1989·Annals of Surgery·V W FazioI C Lavery
Jan 1, 1986·International Journal of Colorectal Disease·J Alexander-Williams
Mar 1, 1987·Diseases of the Colon and Rectum·J S Thompson
Feb 1, 1983·Archives of Internal Medicine·D J Sales, J B Kirsner
Dec 1, 1995·Canadian Journal of Surgery. Journal Canadien De Chirurgie·J SerraR S McLeod
Mar 1, 1995·Diseases of the Colon and Rectum·G Ozuner, V W Fazio
Jan 1, 1994·Mayo Clinic Proceedings·M P SpencerR R Dozois
Jan 1, 1996·American Journal of Surgery·G OzunerT L Hull
Mar 1, 1996·Diseases of the Colon and Rectum·F Michelassi
Jan 1, 1996·International Journal of Colorectal Disease·K R GardinerN J Mortensen
Nov 1, 1996·Diseases of the Colon and Rectum·G OzunerS A Strong
Feb 1, 1997·Diseases of the Colon and Rectum·G PoggioliA Cavallari
Jun 1, 1997·American Journal of Surgery·A M TaschieriG Bianchi Porro
Apr 2, 1998·World Journal of Surgery·R D Hurst, F Michelassi
Apr 2, 1998·World Journal of Surgery·B G Wolff
Jul 25, 1998·Gastroenterology·E LautenbachG R Lichtenstein
Jun 23, 1999·Diseases of the Colon and Rectum·T YamamotoM R Keighley
Jul 26, 2000·Diseases of the Colon and Rectum·D TichanskyR D Fry
Aug 19, 2000·Diseases of the Colon and Rectum·T YamamotoM R Keighley
Feb 24, 2001·The Surgical Clinics of North America·C P Delaney, V W Fazio
Mar 14, 2001·Journal of the American College of Surgeons·D W DietzV W Fazio
May 18, 2001·International Journal of Colorectal Disease·D C BroeringJ R Izbicki
Jul 27, 2001·Journal of Clinical Gastroenterology·S VasilopoulosD G Binion
Jun 20, 2002·Diseases of the Colon and Rectum·David W DietzAnthony J Senagore
Sep 10, 2002·JPEN. Journal of Parenteral and Enteral Nutrition·John Grant
Dec 10, 2002·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·G M SampietroA M Taschieri

❮ Previous
Next ❯

Citations

Jan 12, 2008·International Journal of Colorectal Disease·Giovanni MaconiGabriele Bianchi Porro
Jul 16, 2010·International Journal of Colorectal Disease·Andreas G WibmerJoerg-Peter Ritz
Sep 28, 2010·Surgery Today·Motoi UchinoNaohiro Tomita
Sep 1, 2007·Diseases of the Colon and Rectum·Takayuki YamamotoParis P Tekkis
Aug 11, 2007·Diseases of the Colon and Rectum·Scott A StrongUNKNOWN Standards Practice Task Force of The American Society of Colon and Rectal Surgeons
Sep 13, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Ronald AmbeBurt Cagir
Sep 15, 2007·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·G E ReeseP P Tekkis
Jan 15, 2014·World Journal of Gastroenterology : WJG·Takayuki Yamamoto, Toshiaki Watanabe
Jan 5, 2011·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Fazl Q ParrayUNKNOWN Nayeem-ul-Hassan
Feb 28, 2013·World Journal of Gastrointestinal Surgery·Francesco TonelliGadiel Liscia
Jul 14, 2010·World Journal of Surgery·Francesco TonelliCarmela Di Martino
Jan 3, 2009·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Gianluca M SampietroDiego Foschi
Nov 24, 2004·Journal of the American College of Surgeons·Neil H Hyman
Feb 28, 2006·The British Journal of Surgery·N S FearnheadN J McC Mortensen
Mar 17, 2020·Techniques in Coloproctology·G PellinoUNKNOWN Italian Society of Colorectal Surgery SICCR
Oct 9, 2015·Diseases of the Colon and Rectum·Scott StrongUNKNOWN Clinical Practice Guidelines Committee of the American Society of Colon and Rectal Surgeons
Jun 19, 2016·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A de Buck van OverstraetenA D'Hoore
May 20, 2017·Intestinal research·Fumihito Hirai
Feb 26, 2021·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Gianluca M SampietroDiego Foschi
Jul 24, 2021·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Gianluca M SampietroDiego Foschi

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.