Minimally Invasive Surgery for Inflammatory Bowel Disease

Holder-Murray, Jennifer; Marsicovetere, Priscilla; Holubar, Stefan D.

doi:10.1097/mib.0000000000000316

Cited by 27 publications

(27 citation statements)

References 128 publications

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“…Ulcerative colitis (UC) is characterized by diffuse inflammation of the colonic mucosa. UC, 95% of the time, affects the rectum but never involves the small bowel [ 1 – 3 ]. UC has a prevalence of 500,000 and an incidence of 8–12 per 100,000 population per year in the United States [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

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A Case of In-Bore Transperineal MRI-Guided Prostate Biopsy of a Patient with Ileal Pouch-Anal Anastomosis

Kongnyuy

Frye

George

et al. 2015

Case Reports in Urology

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Ulcerative colitis (UC) is an inflammatory disease that specifically affects the colon. Ulcerative colitis is primarily treated medically and refractory disease is treated with proctocolectomy and ileal pouch-anal anastomosis (IPAA). Gastroenterologists advise against digital rectal exams, pelvic radiation therapy, and transrectal ultrasound (TRUS) biopsies of the prostates of ileal pouch-anal anastomosis patients. Any form of pouch manipulation can lead to severe bleeding, inflammation, and pain. Urologists are therefore faced with the challenge of doing a prostate biopsy without a transrectal ultrasound. We report the rare case of a patient with an ileal pouch-anal anastomosis who underwent in-bore transperineal MRI-guided biopsy of the prostate.

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Section: Introductionmentioning

confidence: 99%

“…Medical therapy includes mesalamine, steroids, 5-aminosalicylate, 6-mercaptopurine, azathioprine, infliximab, and thiopurines. Patients with severe colitis refractory to maximal medical therapy undergo either a proctocolectomy with ileostomy, catheterizable stoma, or ileal pouch-anal anastomosis (IPAA) [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

A Case of In-Bore Transperineal MRI-Guided Prostate Biopsy of a Patient with Ileal Pouch-Anal Anastomosis

Kongnyuy

Frye

George

et al. 2015

Case Reports in Urology

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“…8 With respect to the urgency of operation, guideline recommendations were generally arguing pro-laparoscopy in planned operations. 9,10,[14][15][16] …”

Section: Discussionmentioning

confidence: 99%

Long-term outcome of laparoscopic and open surgery in patients with Crohn’s disease

Hoffmann¹,

Siebrasse²,

Schlöricke³

et al. 2017

OAS

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Aim:To investigate, via data analysis, the long-term outcome of patients who underwent either laparoscopic or open surgery for Crohn's disease. Methods: A total of 113 patients who had undergone first abdominal surgery due to Crohn's disease between January 2000 and December 2010 in a maximum care provider facility, were included in the statistical analysis. All patients provided their informed consent prior to inclusion. Data were collected from a database. Follow-up data included data from central mortality registries, general practitioners and a specialized clinic. Statistical analysis of the general patient data and the different operations and approaches were performed with the use of chi-square test, Fisher's exact test, and the Mann-Whitney U test. Results: The median follow-up period in case of open and laparoscopic surgery was found to be 9 and 6 years, respectively. Statistically significant differences were observed for the following parameters in case of open and laparoscopic surgery, respectively: age (median=44 vs. 36 years, range=15-76 vs. 15-72 years; p=0.007), urgency of operation (23 out of 34 planned vs. 6 out of 70 planned; p<0.001), year of resection (median=2003 vs. 2006, range=2000-2010 vs. 2000-2010; p=0.001). The length of stay in hospital was significantly shorter in the laparoscopic group than that of open surgery group (8 vs. 11 days, respectively; p<0.0001). We did not control for factors such as age and comorbidities in our statistical analysis. We also did not find any differences with regard to perioperative and 90-day mortality, surgical complications, length of specimen, stoma, surgical recurrence rate (10% in both groups) and number of re-admissions. Moreover, we did not find differences between patients with early operation after first symptoms and patients with long course of disease. A statistically significant difference was found for long-term mortality that was higher in the open surgery group than that of laparoscopic group (p=0.005) (the median for open surgery group was significantly higher than that of laparoscopic group). Conclusion: The outcome of laparoscopic and open surgery is at least comparable. Shorter length of hospital stay and comparable surgical recurrence rates are advantages of laparoscopy.

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“…Minimal invasive surgery (MIS) proved to have at less same positive results compared to classic surgery in cases of infl ammatory bowel diseases. Th ere are no in-creased risk of complications for MIS, and the advantages of laparoscopy are obvious [35][36][37] .…”

Section: Crohn's Diseasementioning

confidence: 99%

Inflammatory Bowel Diseases: the Surgical Perspective

Socea¹,

Dumitrescu²,

Bratu³

et al. 2019

Rev. Med. Mod.

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Inflammatory bowel diseases (IBD), namely Crohn's disease and ulcerative colitis, are relatively rare diseases in our country, known as a low prevalence geographic region. IBD are a multidisciplinary problem, that implies gastroenterologists, as well as surgeons. Surgical management in inflammatory bowel disease is often impaired by a high complication rate and a signifi cant recurrence rate, specifi c mostly for Crohn's disease. Indications for surgery include failure of medical therapy (including delayed puberty for young patients and drug intolerance), toxic megacolon, bowel perforation, obstruction, enteric fi stula and abdominal or perianal abscess. Advances in medical treatment options for IBD are continuously accumulating. However, a large number of patients still require surgical procedures during lifetime. RezumatBolile inflamatorii intestinale, cuprinzând boala Crohn și colita ulcerativă, sunt boli relativ rare în ţara noastră, cunoscută ca o regiune geografi că cu prevalenţă scăzută. Bolile inflamatorii intestinale reprezintă o problemă multidisciplinară, care implică atât gastroenterologi, cât și chirurgi. Abordarea chirurgicală în bolile inflamatorii intestinale este adesea afectată de o rată ridicată a complicaţiilor și de o rată semnifi cativă de recurenţă, specifi că mai ales pentru boala Crohn. Indicaţiile intervenţiilor chirurgicale includ eșecul terapiei medicamentoase (inclusiv pubertatea întârziată pentru pacienţii tineri și intoleranţa la medicamente), megacolonul toxic, perforaţiile intestinale, ocluzia, fi stula enterică și abcesul abdominal sau perianal. Opţiunile de tratament medicamentos în bolile inflamatorii intestinale se perfecţionează continuu. Cu toate acestea, un număr mare de pacienţi încă necesită proceduri chirurgicale de-a lungul vieţii. Cuvinte cheie: boli inflamatorii intestinale, boala Crohn, colita ulcerativă, chirurgie. REVIEW

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Minimally Invasive Surgery for Inflammatory Bowel Disease

Abstract: Article first published online 9 February 2015.

Cited by 27 publications

References 128 publications

A Case of In-Bore Transperineal MRI-Guided Prostate Biopsy of a Patient with Ileal Pouch-Anal Anastomosis

A Case of In-Bore Transperineal MRI-Guided Prostate Biopsy of a Patient with Ileal Pouch-Anal Anastomosis

Long-term outcome of laparoscopic and open surgery in patients with Crohn’s disease

Inflammatory Bowel Diseases: the Surgical Perspective

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Minimally Invasive Surgery for Inflammatory Bowel Disease

Abstract: Article first published online 9 February 2015.

Cited by 27 publications

References 128 publications

A Case of In-Bore Transperineal MRI-Guided Prostate Biopsy of a Patient with Ileal Pouch-Anal Anastomosis

A Case of In-Bore Transperineal MRI-Guided Prostate Biopsy of a Patient with Ileal Pouch-Anal Anastomosis

Long-term outcome of laparoscopic and open surgery in patients with Crohn&rsquo;s disease

Inflammatory Bowel Diseases: the Surgical Perspective

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Product

Resources

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Long-term outcome of laparoscopic and open surgery in patients with Crohn’s disease