TY - JOUR
T1 - Conservative surgical management of perforating Crohn's disease
T2 - side- to-side enteroenteric neoileocolic anastomosis: Report of two cases
AU - Poggioli, Gilberto
AU - Selleri, Simonetta
AU - Stocchi, Luca
AU - Laureti, Silvio
AU - Salone, Mariacristina
AU - Marra, Claudio
AU - DiSimone, Massimo
AU - Ugolini, Federica
AU - Cavallari, Antonino
PY - 1998/12
Y1 - 1998/12
N2 - Conservative surgical management of jejunoileal Crohn's disease is the first-choice treatment in plurioperated patients with high risk of small- bowel syndrome. Treatment is more controversial in patients with a limited disease and no previous surgery, especially in those with terminal ileitis. Even in those cases we advocate conservative surgical management because we have demonstrated regression of both symptoms and morphologic lesions. Contraindications to nonresectional surgery include the presence of abscesses and fistulas. Impending short-bowel syndrome represents a partial exception to this approach. In this article two cases of conservative surgery performed in plurioperated patients with perianastomotic perforating recurrent disease are presented. We have named this procedure 'side-to-side enteroenteric neoileocolic anastomosis,' which is a combination of small resections and conservative procedure This operative strategy leads us to believe that nonresectional surgery could be selectively performed even in patients with perforating Crohn's disease.
AB - Conservative surgical management of jejunoileal Crohn's disease is the first-choice treatment in plurioperated patients with high risk of small- bowel syndrome. Treatment is more controversial in patients with a limited disease and no previous surgery, especially in those with terminal ileitis. Even in those cases we advocate conservative surgical management because we have demonstrated regression of both symptoms and morphologic lesions. Contraindications to nonresectional surgery include the presence of abscesses and fistulas. Impending short-bowel syndrome represents a partial exception to this approach. In this article two cases of conservative surgery performed in plurioperated patients with perianastomotic perforating recurrent disease are presented. We have named this procedure 'side-to-side enteroenteric neoileocolic anastomosis,' which is a combination of small resections and conservative procedure This operative strategy leads us to believe that nonresectional surgery could be selectively performed even in patients with perforating Crohn's disease.
KW - Conservative surgery
KW - Crohn's disease
KW - Neoileoanal anastomosis
KW - Strictureplasty
KW - Surgical techniques
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M3 - Article
C2 - 9860341
AN - SCOPUS:0031701717
VL - 41
SP - 1577
EP - 1580
JO - Diseases of the Colon and Rectum
JF - Diseases of the Colon and Rectum
SN - 0012-3706
IS - 12
ER -