Reference : Strictureplasty in Crohn's disease : Short- and long-term follow-up
Scientific journals : Article
Human health sciences : Surgery
Human health sciences : Gastroenterology & hepatology
http://hdl.handle.net/2268/5965
Strictureplasty in Crohn's disease : Short- and long-term follow-up
English
Laurent, Stanislas [> >]
Detry, Olivier [Centre Hospitalier Universitaire de Liège - CHU > > Chirurgie abdominale- endocrinienne et de transplantation >]
Detroz, Bernard [Centre Hospitalier Universitaire de Liège - CHU > > Chirurgie abdominale- endocrinienne et de transplantation >]
De Roover, Arnaud [Centre Hospitalier Universitaire de Liège - CHU > > Chirurgie abdominale- endocrinienne et de transplantation >]
Joris, Jean [Centre Hospitalier Universitaire de Liège - CHU > > Anesthésie et réanimation >]
Honore, Pierre [Centre Hospitalier Universitaire de Liège - CHU > > Chirurgie abdominale- endocrinienne et de transplantation >]
Louis, Edouard mailto [Université de Liège - ULg > Département des sciences cliniques > Hépato-gastroentérologie >]
Belaiche, Jacques [Université de Liège - ULg > Département des sciences cliniques > Hépato-gastroentérologie]
Jacquet, Nicolas [> >]
Aug-2002
Acta Chirurgica Belgica
Acta Medical Belgica
102
4, JUL-AUG
253-255
Yes (verified by ORBi)
International
0001-5458
Brussels
[en] abdominal surgery ; Crohn's disease ; strictureplasty ; occlusion ; treatment
[en] Strictureplasty for obstructive Crohn's disease is still controversial because lesions are left in place and the suture is performed on a diseased bowel. Many surgeons prefer to perform bowel resection, hoping for fewer complications and a lower recurrence rate. In this paper, the authors reports their strictureplasty experience. They performed a systematic retrospective review of the patients suffering from Crohn's disease who underwent strictureplasties during a 10-year period in the abdominal surgery department of the University Hospital of Liege Sart Tilman, and studied the short- and long-term clinical results of 68 strictureplasties performed in 18 patients. Median follow-up was 63 months (range 12 to 144). Mortality was 0% and septic morbidity was 11% (one wound abscess and one leakage). Among the 16 patients available for the latest follow-up, symptomatic stenotic recurrence had to be medically treated in hospital for 4 patients (25%) with a recurrence delay range of 19 to 49 months. Stenosis recurrence needed re-intervention in one patient 48 months after surgery: stenosis occurred at a distance from the corrected site. These results confirmed that strictureplasty is a safe and efficient procedure in selected patients undergoing surgery for obstructive Crohn's disease.
Professionals ; Students ; General public
http://hdl.handle.net/2268/5965

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