Ileocolic Resection for Crohn Disease: The Influence of Different Surgical Techniques on Perioperative Outcomes, Recurrence Rates, and Endoscopic Surveillance

被引:17
作者
Click, Benjamin [1 ]
Merchea, Amit [2 ]
Colibaseanu, Dorin T. [2 ]
Regueiro, Miguel [1 ]
Farraye, Francis A. [3 ]
Stocchi, Luca [2 ]
机构
[1] Cleveland Clin, Dept Gastroenterol Hepatol & Nutr, Cleveland, OH 44106 USA
[2] Mayo Clin Florida, Div Colon & Rectal Surg, Jacksonville, FL 32224 USA
[3] Mayo Clin Florida, Dept Gastroenterol & Hepatol, Jacksonville, FL 32224 USA
关键词
postoperative; recurrence; endoscopy; anastomosis; mesentery; side-to-side; end-to-end; surveillance; monitoring; TO-END ANASTOMOSIS; HAND-SEWN ANASTOMOSES; INTESTINAL RESECTION; METAANALYSIS; BOWEL; MANAGEMENT; SURGERY; VS;
D O I
10.1093/ibd/izab081
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Ileocolic resection (ICR) is the most common surgical procedure in Crohn disease (CD). There are many surgical techniques for performing ICRs and subsequent anastomoses. Recurrence of CD after ICR is common, often clinically silent, and thus requires monitoring including periodic use of endoscopy to detect early active disease. There is emerging evidence that surgical approaches may influence CD recurrence. This review explores the various surgical considerations, the data behind each decision, and how these techniques influence subsequent endoscopic surveillance.
引用
收藏
页码:289 / 298
页数:10
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