Assessment of complications following strictureplasty for small bowel Crohn’s Disease
| Autor: | R. Maxwell, K. R. Gardiner, B. V. M. Dasari |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Adolescent Ileus medicine.medical_treatment Northern Ireland Resection Young Adult Postoperative Complications Crohn Disease Recurrence Risk Factors Intestine Small medicine Strictureplasty Humans Reoperative surgery Digestive System Surgical Procedures Retrospective Studies Laparotomy Crohn's disease business.industry Incidence General surgery Incidence (epidemiology) General Medicine Bowel resection Length of Stay Middle Aged medicine.disease digestive system diseases Surgery Female business Surgical site infection |
| Zdroj: | Irish Journal of Medical Science. 179:201-205 |
| ISSN: | 1863-4362 0021-1265 |
| DOI: | 10.1007/s11845-009-0419-0 |
| Popis: | Surgical intervention is required in a significant proportion of patients with small bowel Crohn’s disease (CD). Strictureplasty is an effective bowel-sparing alternative to resection. The aim of this study is to assess the primary complications of small bowel strictureplasty for CD (bleeding and leakage). Other postoperative complications encountered, postoperative duration of hospital stay, 30-day mortality, and the incidence of reoperative surgery are also discussed. A retrospective review of patients undergoing small bowel strictureplasty at The Royal Hospital between 1992 and 2007 was conducted. Twenty-seven patients underwent 34 laparotomies and 100 strictureplasties. There was no procedure-specific morbidity and mortality. Other common complications encountered were ileus (3/34) and surgical site infection (3/34). Most of the patients in this study have recurrent diffuse intestinal CD requiring synchronous bowel resection. Strictureplasty is a safe and effective bowel-sparing surgical option in this group of patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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