Surgery and Its Sequelae in Crohn's Colitis and Ileocolitis

Greenstein, Adrian J.; Meyers, Samuel; Sher, Linda; Heimann, Tomas M.; Aufses, Arthur H.

doi:10.1001/archsurg.1981.01380150017004

Cited by 32 publications

(3 citation statements)

References 20 publications

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“…The overall early postoperative complication rate of 14.8% (group A) and 17% (group B) with no reoperations in the early postoperative period is similar to other recent reports [1, 17, 18]. No perioperative deaths were seen.…”

Section: Discussionsupporting

confidence: 89%

Quality of Life after Surgical Therapy of Small Bowel Stenosis in Crohn’s Disease

Bröering¹,

Eisenberger²,

Koch³

et al. 2001

Dig Surg

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Background: Improvement in quality of life is one of the important determinants in the treatment of Crohn’s disease. Since there is no cure with radical resection of inflamed bowel, strictureplasty has become a useful surgical technique in the treatment of small bowel obstruction. The scope of this study was to define the results of strictureplasty and resection in terms of quality of life, surgical recurrence and postoperative complications. Methods: The charts of 67 patients with Crohn’s disease of the small bowel were analyzed retrospectively. Patients were treated either by strictureplasty (group A) or resection (group B). Quality of life was evaluated in follow-up examinations using the Inflammatory Bowel Disease Questionnaire (IBDQ). Results: Postoperative morbidity was 14.8% after strictureplasty and 17% after resection (p = 0.8). 50% of the patients treated by strictureplasty and 37% treated by resection developed recurrent disease (p = 0.40). Quality-of-life measurement revealed no significant difference between patients treated by strictureplasty or resection. Conclusion: Results after strictureplasty are comparable to those after resection in terms of complications, recurrence and quality of life in the treatment of small bowel strictures in Crohn’s disease. In the long run there might be an advantage for strictureplasty because it prevents complications caused by resectional therapy such as short bowel syndrome.

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Section: Discussionsupporting

confidence: 89%

Quality of Life after Surgical Therapy of Small Bowel Stenosis in Crohn’s Disease

Bröering¹,

Eisenberger²,

Koch³

et al. 2001

Dig Surg

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show abstract

“…4 One large series found a 30-day postoperative mortality rate of 3.2%. 5 Patients also face the hazard of loss of significant lengths of small-bowel with the potential development of shortbowel syndrome 6 leading to dependence on parenteral nutrition. In addition, surgically treated patients have an increased likelihood of further episodes of intestinal obstruction because of intra-abdominal adhesions 7 or restricturing at or near anastomotic or stricturoplasty sites, which is more likely to occur in CD.…”

mentioning

confidence: 99%

Effective dilation of small-bowel strictures by double-balloon enteroscopy in patients with symptomatic Crohn's disease (with video)

Despott

Gupta²,

Burling³

et al. 2009

Gastrointestinal Endoscopy

115

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“…It is not surprising that the major complication rate after surgery for Crohn's disease with associated abscess is high, and the perioperative mortality rate is 2 to 4%. 7,[14][15][16][17][18][19] Despite these limitations, some authors still advocate primary laparotomy for management of patients with Crohn's disease and intraabdominal sepsis. 13 Ayuk et al retrospectively reviewed their experience with intraabdominal abscesses in Crohn's patients between 1989 and 1993.…”

Section: Surgical Drainagementioning

confidence: 99%

Management of Intraabdominal Abscesses in Crohn's Disease

Read¹

2001

Clinics in Colon and Rectal Surgery

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Surgery and Its Sequelae in Crohn's Colitis and Ileocolitis

Cited by 32 publications

References 20 publications

Quality of Life after Surgical Therapy of Small Bowel Stenosis in Crohn’s Disease

Quality of Life after Surgical Therapy of Small Bowel Stenosis in Crohn’s Disease

Effective dilation of small-bowel strictures by double-balloon enteroscopy in patients with symptomatic Crohn's disease (with video)

Management of Intraabdominal Abscesses in Crohn's Disease

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