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31. Laparoscopic Ileocecectomy, Small Bowel Resection, and Strictureplasty for Crohn’s Disease

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Abstract

Crohn’s disease is a chronic inflammatory bowel disease that can affect the entire digestive tract, most often the terminal ileum. The treatment of Crohn’s disease consists of medical management primarily with the use of steroids and immunomodulating agents. Despite medical therapy, 80% of patients will require surgical intervention during their lifetime. The most common surgery performed for Crohn’s patients is an ileocolic resection for stricture or obstruction. This chapter provides a step-by-step approach to performing laparoscopic-assisted ileocecectomy, strictureplasty, and small bowel resection. The benefits of laparoscopic surgery for Crohn’s patients include decreased length of stay, reduced morbidity as well as improved cosmesis.

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Selected References

  • Alos R, Hinojosa J. Timing of surgery in Crohn’s disease: a key issue in the management. World J Gastroenterol. 2008;14(36):5532–9.

    Article  PubMed  Google Scholar 

  • Bauer J, Harris MT, Grumbach NM, Gorfine SR. Laparoscopic assisted intestinal resection for Crohn’s disease. Dis Colon Rectum. 1995;38:712–5.

    Article  PubMed  CAS  Google Scholar 

  • Bernell O, Lapidus A, Hellers G. Risk factors for surgery and recurrence in 907 patients with primary ileocaecal Crohn’s disease. Br J Surg. 2000;87:1697–701.

    Article  PubMed  CAS  Google Scholar 

  • Casillas S, Delaney CP. Laparoscopic surgery for inflammatory bowel disease. Dig Surg. 2005;22:135–42.

    Article  PubMed  Google Scholar 

  • Delaney CP, Fazio VW. Crohn’s disease of the small bowel. Surg Clin North Am. 2001;81(1):137–58.

    Article  PubMed  CAS  Google Scholar 

  • Delaney CP, Kiran RP, Senagore AJ, O’Brien-Ermlich B, Church J, Hull TL, Remzi FH, Fazio VW. Quality of life improves within 30 days of surgery for Crohn’s disease. J Am Coll Surg. 2003;196(5):714–21.

    Article  PubMed  Google Scholar 

  • Duepree HJ, Senagore AJ, Delaney CP, Brady KM, Fazio VW. Advantages of laparoscopic resection for ileocecal Crohn’s disease. Dis Colon Rectum. 2002;45(5):605–10.

    Article  PubMed  Google Scholar 

  • Gardiner KR, Dasari BVM. Operative management of small bowel Crohn’s disease. Surg Clin North Am. 2007;87:587–610.

    Article  PubMed  Google Scholar 

  • Katariya RN, Sood S, Rao PG, et al. Strictureplasty for tubercular strictures of the gastrointestinal tract. Br J Surg. 1977;64:496–8.

    Article  PubMed  CAS  Google Scholar 

  • Kiran RP, Delaney CP, Senagore AJ, O’Brien-Ermlich B, Mascha E, Thornton J, Fazio VW. Prospective assessment of Cleveland Global Quality of Life (CGQL) as a novel marker of quality of life and disease activity in Crohn’s disease. Am J Gastroenterol. 2003;98(8):1783–9.

    Article  PubMed  Google Scholar 

  • Kreissler-Haag D, Hildebrandt U, Pistorius G, et al. Laparoscopic surgery in Crohn’ disease. Surg Endosc. 1994;8:1002 (Abstract).

    Google Scholar 

  • Lee ECG, Papaioannou N. Minimal surgery for chronic obstruction in patients with extensive or universal Crohn’s disease. Ann R Coll Surg Engl. 1982;64:229–33.

    PubMed  CAS  Google Scholar 

  • Ludwig KA, Milsom JW, Church JM, Fazio VW. Preliminary experience with laparoscopic intestinal surgery for Crohn’s disease. Am J Surg. 1996;171:52–6.

    Article  PubMed  CAS  Google Scholar 

  • Maartense S, Dunker MS, Slors JF, et al. Laparoscopic-assisted versus open ileocolic resection for Crohn’s disease, a randomized trial. Ann Surg. 2006;243:143–9.

    Article  PubMed  Google Scholar 

  • Milsom JW, Lavery IC, Bohm MB, Fazio VW. Laparoscopically assisted ileocecotomy in Crohn’s disease. Surg Laparosc Endosc. 1993;3:77–80.

    PubMed  CAS  Google Scholar 

  • Milsom JW, Hammerhofer KA, Bohm B, Marcello P, Elson P, Fazio VW. Prospective, randomized trial comparing laparoscopic vs. conventional surgery for refractory ileocolic Crohn’s disease. Dis Colon Rectum. 2001;44(1):1–9.

    Article  PubMed  CAS  Google Scholar 

  • Naidu MN, Trang AC, Salky BA. Laparoscopy in Crohn’s disease. Clin Colon Rectal Surg. 2007;20:329–35.

    Article  PubMed  Google Scholar 

  • Pokala N, Delaney CP, Brady K, Senagore AJ. Elective laparoscopic surgery for benign internal enteric fistulae. Surg Endosc. 2005;19:222–5.

    Article  PubMed  CAS  Google Scholar 

  • Reissman P, Salky BA, Edye M, Wexner SD. Laparoscopic surgery in Crohn’s disease. Surg Endosc. 1996;10:1201–4.

    Article  PubMed  CAS  Google Scholar 

  • Schmidt CM, Talamini MA, Kaufman HS, Lilliemoe KD, Learn P, Bayless T. Laparoscopic surgery for Crohn’s disease: reasons for conversion. Ann Surg. 2001;233(6):733–9.

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Surgery, Division of Colorectal Surgery, University Hospitals Case Medical Center, Cleveland, OH, USA

    Joanne Favuzza D.O. & Conor P. Delaney M.D., Ph.D.

Authors
  1. Joanne Favuzza D.O.
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  2. Conor P. Delaney M.D., Ph.D.
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Corresponding author

Correspondence to Joanne Favuzza D.O. .

Editor information

Editors and Affiliations

  1. Medical Center, Department of Surgery, University of California, Irvine, Orange, 92868, California, USA

    Ninh T. Nguyen

  2. Clinics, Department of Surgery, University of Iowa Hospitals and, Iowa City, 52242, Iowa, USA

    Carol E.H. Scott-Conner

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© 2012 Springer Science+Business Media, LLC

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Favuzza, J., Delaney, C.P. (2012). 31. Laparoscopic Ileocecectomy, Small Bowel Resection, and Strictureplasty for Crohn’s Disease. In: Nguyen, N., Scott-Conner, C. (eds) The SAGES Manual. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-2347-8_31

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  • DOI: https://doi.org/10.1007/978-1-4614-2347-8_31

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-2346-1

  • Online ISBN: 978-1-4614-2347-8

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