Application of a linear stapler to the laparoscopic treatment of gastrocolic fistula in patients with Crohn’s disease
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Crohn’s disease (CD) is a chronic bowel disease characterized by inflammation of the gastrointestinal tract. All segments of the gastrointestinal tract can be affected, leading to complications such as strictures, abscesses, or fistulas. Although internal fistulas occur in approximately 20–35% of patients with CD, gastrocolic fistulas are very rare .
Despite improvement in medical therapy for patients with CD, such as treatment with steroids, azathioprine, and anti-tumor necrosis factor-α agents, patients with gastrocolic fistulas nearly always require surgical treatment. Minimally invasive surgery for inflammatory disease was recently shown to be safe and effective. We have also reported the feasibility of laparoscopic surgery for CD . However, laparoscopic surgery for CD often results in conversion to open laparotomy. The conversion rate of laparoscopic surgery in patients with CD reportedly ranges from 8.5 to 13.4% . One reason for conversion is the difficulty...
We thank Angela Morben, DVM, ELS, from Edanz Group (http://www.edanzediting.com/ac) for editing a draft of this manuscript.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
procedures performed in this study were in accordance with the ethical standards of the institution.
Informed consent was obtained from all individual participants included in the study.