Ileocecal strictureplasty for Crohn's disease: long-term results and comparison with ileocecal resection.

World Journal of Surgery
Francesco TonelliCarmela Di Martino

Abstract

The aim of the present study was to evaluate strictureplasty as the first choice for surgical treatment for Crohn's terminal ileitis. Between 1996 and 2000 we performed Finney-shaped ileocecal strictureplasty (ICS), doubling up the diseased terminal ileum, in 14 patients affected by Crohn's disease (group A). We compared the postoperative and long-term outcomes of these patients with those of 14 similar patients who underwent ileocecal resection with ileocolonic anastomosis during the same period (group B). No postoperative morbidity or mortality was recorded in group A, whereas two patients of group B had a pelvic hematoma and cholestatic hepatopathy, respectively. The mean hospital stay after surgery was 9.9 days (range 7-13 days) in group A and 7.4 days (range 6-10 days) in group B. After a median follow-up of 120 months (range 103-147 months), five patients of group A had a symptomatic recurrence: A stricture at the site of the ICS was present in four of them, but only one required surgery; symptoms were controlled by medical therapy in the other three. The fifth symptomatic patient was reoperated for multiple jejunoileal recurrence of the disease above the ICS. Group B patients have been followed for a mean of 108 months (...Continue Reading

References

Sep 1, 1991·Annals of Surgery·F MichelassiG E Block
Jan 1, 1996·American Journal of Surgery·G OzunerT L Hull
Mar 1, 1996·Diseases of the Colon and Rectum·F Michelassi
Nov 1, 1996·Diseases of the Colon and Rectum·F MarchettiG Ozuner
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
Jul 26, 2000·Diseases of the Colon and Rectum·D TichanskyR D Fry
Jul 26, 2000·Diseases of the Colon and Rectum·F Tonelli, F Ficari
Mar 3, 2001·Diseases of the Colon and Rectum·N T Jaskowiak, F Michelassi
Feb 24, 2004·Diseases of the Colon and Rectum·Francesco TonelliMarilena Fazi
Jun 26, 2004·Journal of the American College of Surgeons·Gianluca M SampietroAngelo Maria Taschieri
Dec 21, 2006·Diseases of the Colon and Rectum·Achyuth M MenonDion G Morton
Sep 16, 2008·International Journal of Colorectal Disease·Francesco TonelliGabriella Nesi

❮ Previous
Next ❯

Citations

Apr 29, 2011·International Journal of Colorectal Disease·Jan-Hendrik EgbertsBodo Schniewind
Sep 13, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Ronald AmbeBurt Cagir
May 18, 2016·American Journal of Surgery·Andrew T SchlusselKarim Alavi
Mar 15, 2015·Journal of Ultrasound·Fiorenzo BottiEttore Contessini Avesani
Aug 15, 2017·Expert Review of Gastroenterology & Hepatology·Augusto LauroGabriel Gondolesi
Mar 17, 2020·Techniques in Coloproctology·G PellinoUNKNOWN Italian Society of Colorectal Surgery SICCR

❮ 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.

© 2021 Meta ULC. All rights reserved