PMID: 9533805Apr 9, 1998Paper

Laparoscopy in the diagnosis and management of Crohn's disease

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
K SinghR J Foley

Abstract

We have tried to evaluate the role of laparoscopy and laparoscopic-assisted surgery in the management of Crohn's disease. Over a 4-year period, we had 38 patients, of which 23 patients were suspected to have Crohn's disease and were admitted for diagnostic laparoscopy while 15 patients had already had a biopsy confirmation of Crohn's disease in the past and were admitted for specifically planned procedures. In the first group of 23 patients, 11 were found not to have Crohn's disease. In the remaining 12 patients, three were proven to have Crohn's disease, but no surgical procedure was undertaken. The remaining nine patients underwent laparoscopic-assisted procedures, of which two required conversion to a laparotomy because of intra-abdominal abscesses. All 15 patients in the second group underwent laparoscopic or laparoscopic-assisted procedures. In total, 14 patients were spared a potential diagnostic laparotomy and could go home the next day. The remaining 24 patients underwent procedures requiring longer hospital stays; five had a purely laparoscopic procedure, 17 had a laparoscopic-assisted procedure, and two required a laparotomy. Although there was little difference in the median stay for patients treated laparoscopically...Continue Reading

References

Jun 1, 1992·Surgical Laparoscopy & Endoscopy·C A RomeroR Ger
Jul 1, 1992·Journal of Clinical Gastroenterology·A LavyS Eidelman
Jul 1, 1995·Diseases of the Colon and Rectum·J J BauerS R Gorfine
Dec 1, 1994·The British Journal of Surgery·A Prasad, R J Foley
May 1, 1994·Digestive Diseases and Sciences·A MinochaR A Wright
Jul 1, 1993·The British Journal of Surgery·K SmedhR Sjödahl

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Citations

Nov 17, 2001·Diseases of the Colon and Rectum·S MsikaJ M Hay
Feb 24, 2001·The Surgical Clinics of North America·M Aleali, J W Milsom
May 31, 2012·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Camran NezhatLouise P King
Oct 7, 2006·Current Opinion in Gastroenterology·S A Strong, V W Fazio
Nov 1, 2002·Scandinavian Journal of Gastroenterology. Supplement·W A BemelmanD J Gouma
Jul 11, 2001·Scandinavian Journal of Gastroenterology·R Bergamaschi

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