Laparoscopy for recurrent Crohn's disease: how do the results compare with the results for primary Crohn's disease?

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
R A PintoSteven D Wexner

Abstract

To assess the feasibility and outcomes of reoperative laparoscopic-assisted surgery for recurrent Crohn's disease compared with index laparoscopic resections. A retrospective analysis of a prospectively maintained database was performed from 2001 to 2008 on patients who had primary laparoscopy (group I) or reoperative laparoscopy for Crohn's disease (group II). Data collection included demographic and surgical data, and postoperative outcomes. One hundred and thirty patients were included in this study, distributed as follows: group I, 80 patients with a mean age of 35 years; and group II, 50 patients with a mean age of 42 years. Preoperative American Society of Anesthesiologists score and body mass index were similar in both groups. Patients in group II had a longer period of disease (15.5 vs 8.9 years in groups I and II, respectively; P = 0.0002). Immunosuppressive therapy had been utilized in 66 (82.5%) and in 42 (84%) patients in groups I and II, respectively. Ileocolic resection was the most commonly performed procedure in both groups (82%), followed by subtotal colectomy. Conversion rates were 18.7 and 32% in groups I and II, respectively (P = 0.09). The mean operative time (182 vs 201 min) and mean blood loss (161 vs 202...Continue Reading

References

Jul 1, 1995·Diseases of the Colon and Rectum·J J BauerS R Gorfine
Jan 1, 1996·American Journal of Surgery·K A LudwigV W Fazio
May 1, 1998·Annals of Surgery·T M HeimannA H Aufses
May 24, 2001·Annals of Surgery·C M SchmidtT Bayless
Oct 10, 2001·Surgical Endoscopy·C T HamelS D Wexner
May 11, 2002·Diseases of the Colon and Rectum·Hans-Joachim DuepreeVictor W Fazio
Jan 7, 2003·Archives of Surgery·Gregg ShoreSelwyn M Vickers
Jun 5, 2003·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·R. W MotsonN Gallegos
Aug 9, 2003·The British Journal of Surgery·H HasegawaM Kitajima
Jan 7, 2004·American Journal of Surgery·Krishna MoorthyRobert J Foley
Feb 5, 2004·Seminars in Laparoscopic Surgery·Oded Zmora
Mar 24, 2005·Diseases of the Colon and Rectum·Alessandro FicheraFabrizio Michelassi
Jan 25, 2006·Annals of Surgery·Stefan MaartenseWillem A Bemelman
Mar 24, 2007·Diseases of the Colon and Rectum·Jane J Y Tan, Joe J Tjandra
Sep 6, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Andre da Luz MoreiraVictor W Fazio
Mar 7, 2009·Surgical Endoscopy·Sherief ShawkiSteven D Wexner

❮ Previous
Next ❯

Citations

Apr 17, 2013·International Journal of Colorectal Disease·P A NeumannM Bruewer
Feb 22, 2012·Langenbeck's Archives of Surgery·Virginia Oliva Shaffer, Steven D Wexner
Oct 15, 2013·Journal of Visceral Surgery·M TavernierA Alves
Mar 31, 2011·World Journal of Gastroenterology : WJG·Hermann KesslerWerner Hohenberger
Apr 14, 2016·Updates in Surgery·Gaspare SolinaVincenzo Mandalà
Nov 5, 2015·Surgery Today·Kohei ShigetaYuko Kitagawa
Jan 19, 2012·Gastroenterology Research and Practice·Antonino SpinelliMarco Montorsi
Jan 20, 2019·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M BouquotY Panis
May 11, 2018·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·V CelentanoJ Khan
Aug 16, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Zhao-Liang YuXiao-Jian Wu
Sep 5, 2018·Journal of Minimal Access Surgery·Valerio Celentano
Aug 26, 2015·Asian Journal of Endoscopic Surgery·Hiroya KuroyanagiMasahiko Watanabe
Jul 16, 2020·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Rodrigo Ambar PintoSergio Carlos Nahas
Oct 30, 2016·Asian Journal of Endoscopic Surgery·Tatsuya ManabeMasafumi Nakamura
Dec 7, 2018·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S R BrownUNKNOWN ACPGBI IBD Surgery Consensus Collaboration
Apr 15, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Heather CarmichaelPatricia Sylla
Mar 13, 2021·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Yehonatan NevoDavid Hazzan

❮ 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.