Transumbilical single‐incision laparoscopic ileocecal resection for <scp>C</scp>rohn's disease in a child

Inoue, Mikihiro; Uchida, Keiichi; Otake, Kohei; Okigami, Masato; Okita, Yoshiki; Hiro, Junichiro; Araki, Toshimitsu; Kusunoki, Masato

doi:10.1111/j.1758-5910.2012.00162.x

Cited by 4 publications

(1 citation statement)

References 11 publications

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“…[18][19][20][21][22][23] Many diseases are not accompanied by a specific lesion site, such as Meckel diverticulum and Crohn disease, making preoperative identification of any lesion important. To our knowledge, this is the first case report showing the diagnosis, localization, and tattooing of an OGIB lesion of the small intestine by preoperative DBE, and removal of the lesion by subsequent T-SILS.…”

Section: Discussionmentioning

confidence: 99%

Success of Minimally Invasive Transumbilical Single-Incision Laparoscopic Surgery (T-SILS) Plus Double-Balloon Endoscopy (DBE) for Pediatric Intestinal Angiodysplasia: A Case Report

Mori

Koike

Inoue

et al. 2015

International Surgery

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We describe here a child with angiodysplasia of the small intestine, diagnosed by doubleballoon endoscopy (DBE), who was treated with transumbilical single-incision laparoscopic surgery (T-SILS). A 9-year-old boy presented to another hospital with intermittent fresh melena of a duration of 5 months and 4 days. Anoscopy and gastric mucosal membrane scintigraphy were unsuccessful diagnostically, and he was referred to our hospital for further examination and treatment. Under general anesthesia, we performed DBE by an anal route, with the ileum assessed for a distance of about 150 cm from the ileocecal valve. Although no bleeding lesion was found in the colon, a flat elevated venous lake approximately 20 mm in size was observed 20 cm from the ileocecal valve, suggesting angiodysplasia of the small intestine. A tattoo was made under DBE, and wedge resection by T-SILS was performed 1 month later under general anesthesia. The excised specimen appeared as a flat, elevated venous lake approximately 20 mm in size. Histopathologic analysis revealed several dilated and distorted veins within the submucosa of the small intestine. The patient was diagnosed with angiodysplasia of the small intestine. His postoperative course was uneventful, and he remained free of recurrent gastrointestinal bleeding 18 months after the operation. This is the first case report showing the diagnosis, localization, and tattooing of an obscure gastrointestinal bleeding lesion of the small intestine by preoperative DBE and removal of the lesion by subsequent T-SILS in children.

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Section: Discussionmentioning

confidence: 99%

Success of Minimally Invasive Transumbilical Single-Incision Laparoscopic Surgery (T-SILS) Plus Double-Balloon Endoscopy (DBE) for Pediatric Intestinal Angiodysplasia: A Case Report

Mori

Koike

Inoue

et al. 2015

International Surgery

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Single-incision laparoscopic surgery (SILS) for children with Crohn’s disease

et al. 2016

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Therapeutic strategies for stricturing Crohn’s disease in childhood: a systematic review

et al. 2021

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Purpose Childhood stricturing Crohn’s disease (CD) has significant morbidity. Interventions including resection, stricturoplasty and endoscopic balloon dilatation (EBD) are often required. Optimal intervention modality and timing, and use of adjuvant medical therapies, remains unclear. We aim to review the therapies used in paediatric stricturing CD. Methods A systematic review in accordance with PRISMA was performed (PROSPERO: CRD42020164464). Demographics, stricture features, interventions and outcomes were extracted. Results Fourteen studies were selected, including 177 patients (183 strictures). Strictures presented at 40.6 months (range 14–108) following CD diagnosis. Medical therapy was used in 142 patients for an average of 20.4 months (2–36), with a complete response in 11 (8%). Interventions were undertaken in 138 patients: 53 (38%) resections, 39 (28%) stricturoplasties, and 17 (12%) EBD. Complications occurred in 11% of resections, versus 15% stricturoplasties, versus 6% EBD (p = 0.223). At a median follow-up of 1.9 years (interquartile range 1.2–2.4) pooled stricture recurrence was 22%. Resection had 9% recurrence, versus 38% stricturoplasty, versus 47% EBD (p < 0.001). Conclusions Resection is associated with a low incidence of recurrence and complications. There remains a paucity of evidence regarding adjuvant medical therapy and the role of EBD. We propose a minimum reported dataset for interventions in paediatric stricturing CD.

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Transumbilical single‐incision laparoscopic ileocecal resection for Crohn's disease in a child

Cited by 4 publications

References 11 publications

Success of Minimally Invasive Transumbilical Single-Incision Laparoscopic Surgery (T-SILS) Plus Double-Balloon Endoscopy (DBE) for Pediatric Intestinal Angiodysplasia: A Case Report

Success of Minimally Invasive Transumbilical Single-Incision Laparoscopic Surgery (T-SILS) Plus Double-Balloon Endoscopy (DBE) for Pediatric Intestinal Angiodysplasia: A Case Report

Single-incision laparoscopic surgery (SILS) for children with Crohn’s disease

Therapeutic strategies for stricturing Crohn’s disease in childhood: a systematic review

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