Intestinal Surgery for Crohn’s Disease: Predictors of Recovery, Quality of Life, and Costs

Abstract

Laparoscopy was associated with a shorter postoperative length of stay; stoma creation was associated with a long and expensive postoperative hospital stay, and stricturoplasty was associated with a slower recovery of bowel function.

Long-term health-related quality of life after minimally invasive surgery for diverticular disease

“…On the other hand, as expected [38], diverting colostomy creation resulted to be one of the predictors of bad BIQ scores at the multiple regression analysis. Nevertheless, similarly to what was observed in patients with Crohn's disease [39], in this series an ostomy bag did not seem to influence postoperative quality of life.…”

Magnetic Resonance Enterography for Crohn’s Disease: What the Surgeon Can Take Home

“…In case of entero-sigmoid fistula or large inflammatory mass, a small Pfannestiel incision (8 cm) was used instead of the transumbilical incision. 3 Vascular ligation, bowel division, and anastomosis were performed extracorporeally. Stapled anastomoses were constructed in a side-to-side fashion using an 80-mm linear stapler (GIA75; US Surgical Corporation, Norwalk, CT, USA).…”

“…The bowel was incised along its main axis on the anti-mesenteric side on a Crohn's stenosis and sutured transversally with absorbable 3-0 Vicryl (Ethicon) stitches. 3 Histology After fixation in 10% neutral-buffered formalin at room temperature for 24/48 h, the resected specimens were dehydrated and embedded in paraffin wax. Sections (3-μm thick) were then cut and standard hematoxylin/eosin stain applied was evaluated by pathologists specialized in gastrointestinal pathology and in inflammatory bowel Finally, MRE identified preoperatively only one out three neoplasms (two leiomyomas and one lymphoma) with a sensitivity of 0.33 (95% CI 0.01-0.87) and a specificity of 1.00 (95% CI 0.86-1.00).…”

“…In fact, minimally invasive surgery and strictureplasty may reduce the negative impact of surgery in these patients limiting scars and bowel loss. 3 In fact, body image and cosmesis after intestinal surgery for CD is better preserved in patients who have laparoscopic surgery. [3][4][5] Stenosis can be treated with resection but strictureplasty can preserve as much bowel length as possible and can reduce the risk of short bowel syndrome.…”

“…3 In fact, body image and cosmesis after intestinal surgery for CD is better preserved in patients who have laparoscopic surgery. [3][4][5] Stenosis can be treated with resection but strictureplasty can preserve as much bowel length as possible and can reduce the risk of short bowel syndrome. 6,7 For these reasons, it is important to plan as carefully as possible the surgical procedure in advance to tailor it to each single patient.…”