Ileal pouch-anal anastomosis for Crohn's disease. Current status

Martínez-Ramos, David; Gibert-Gerez, Juan; Escrig-Sos, Javier; Alcalde-Sánchez, Miguel; Salvador-Sanchís, José Luis

doi:10.1016/s2173-5077(09)70118-8

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“…Otherwise this approach is still uncommon and a matter of debate . However, with a high risk of pouch failure resulting in pouch excision, many dedicated centres still do not offer this option to patients with a preoperative diagnosis of CD .…”

Section: Introductionmentioning

confidence: 99%

A systematic review of segmental vs subtotal colectomy and subtotal colectomy vs total proctocolectomy for colonic Crohn's disease

et al. 2017

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All three procedures were equally effective as treatment options for colonic CD and the choice of operation remains intrinsically dependent on the extent of colonic disease. However, patients in the TPC group showed a lower recurrence risk than those in the STC group. Moreover, SC had a higher risk of postoperative complications but a lower risk of permanent stoma. These data should be taken into account when deciding surgical strategies and when informing patients about postoperative risks.

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Section: Introductionmentioning

confidence: 99%

A systematic review of segmental vs subtotal colectomy and subtotal colectomy vs total proctocolectomy for colonic Crohn's disease

et al. 2017

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“…Hence, many units do not offer patients with a preoperative diagnosis of Crohn's disease restorative proctocolectomy with ileal pouch-anal anastomosis. 7,8 The remaining surgical approaches to Crohn's colitis are either segmental colectomy and anastomosis or colectomy with ileorectal anastomosis. The segmental approach is suitable for selected patients who have a limited portion of affected or diseased colon where the remainder of the colon is relatively normal.…”

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confidence: 99%