Is There a Role for Ileal Pouch Anal Anastomosis in Crohn's Disease?

被引:13
作者
Lopez, Nicole E. [1 ]
Zaghyian, Karen [1 ]
Fleshner, Phillip [1 ]
机构
[1] Cedars Sinai Med Ctr, Div Colon & Rectal Surg, 8787 Beverly Blvd,Suite 101, Los Angeles, CA 90048 USA
关键词
Crohn's disease; indeterminate colitis; ileal pouch anal anastomosis; de novo Crohn's disease; ileorectal anastomosis; INFLAMMATORY-BOWEL-DISEASE; LONG-TERM OUTCOMES; QUALITY-OF-LIFE; INDETERMINATE COLITIS; RESTORATIVE PROCTOCOLECTOMY; HEAL POUCH; ULCERATIVE-COLITIS; ILEORECTAL ANASTOMOSIS; REFRACTORY POUCHITIS; FAMILY-HISTORY;
D O I
10.1055/s-0039-1683917
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Traditionally, surgical interventions for colonic Crohn's disease (CD) have been limited to total abdominal colectomy and ileorectal anastomosis, or total proctocolectomy with end ileostomy if there is rectal involvement. However, improved understandings of the biology of CD, as well as the development of biologic therapies, have enabled more limited resections. Here, we review the indications for, and limitations of, specific procedures aiming to preserve intestinal continuity in colonic CD.
引用
收藏
页码:280 / 290
页数:11
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