RSS-Feed abonnieren
Bitte kopieren Sie die angezeigte URL und fügen sie dann in Ihren RSS-Reader ein.
https://www.thieme-connect.de/rss/thieme/de/10.1055-s-00000049.xml
Clin Colon Rectal Surg 2021; 34(04): 227-232
DOI: 10.1055/s-0041-1729926
DOI: 10.1055/s-0041-1729926
Review Article
Crohn's Disease Obstructions
Abstract
Obstruction from stricturing Crohn's disease remains one of the most common reasons for intervention. Acute inflammation is often responsive to medications, but chronic fibrosis is unlikely to respond and will generally go on to require additional treatment. Newer methods, such as endoscopic balloon dilation, are gaining grounds in strictures that are amenable, but with high recurrence and strictures that may not be endoscopically accessible, surgery still plays a key role in the treatment of obstructing Crohn's disease.
Publikationsverlauf
Artikel online veröffentlicht:
20. Juli 2021
© 2021. Thieme. All rights reserved.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Bernell O, Lapidus A, Hellers G. Risk factors for surgery and postoperative recurrence in Crohn's disease. Ann Surg 2000; 231 (01) 38-45
- 2 Kosmidis C, Anthimidis G. Emergency and elective surgery for small bowel Crohn's disease. Tech Coloproctol 2011; 15 (Suppl. 01) S1-S4
- 3 Toh JW, Stewart P, Rickard MJ, Leong R, Wang N, Young CJ. Indications and surgical options for small bowel, large bowel and perianal Crohn's disease. World J Gastroenterol 2016; 22 (40) 8892-8904
- 4 Gasche C, Grundtner P. Genotypes and phenotypes in Crohn's disease: do they help in clinical management?. Gut 2005; 54 (01) 162-167
- 5 Goldstone RN, Steinhagen RM. Abdominal emergencies in inflammatory bowel disease. Surg Clin North Am 2019; 99 (06) 1141-1150
- 6 Fichera A, Krane M. Crohn's Disease: Basic Principles. Springer; 2015
- 7 Schulberg JD, Wright EK, Holt BA. et al. Magnetic resonance enterography for predicting the clinical course of Crohn's disease strictures. J Gastroenterol Hepatol 2019; 35 (06) 980-987
- 8 Mawdsley JE, Rampton DS. Psychological stress in IBD: new insights into pathogenic and therapeutic implications. Gut 2005; 54 (10) 1481-1491
- 9 Berg DF, Bahadursingh AM, Kaminski DL, Longo WE. Acute surgical emergencies in inflammatory bowel disease. Am J Surg 2002; 184 (01) 45-51
- 10 Li J, Mao R, Kurada S. et al. Pathogenesis of fibrostenosing Crohn's disease. Transl Res 2019; 209: 39-54
- 11 Rieder F, Fiocchi C, Rogler G. Mechanisms, management, and treatment of fibrosis in patients with inflammatory bowel diseases. Gastroenterology 2017; 152 (02) 340-350.e6
- 12 Campbell L, Ambe R, Weaver J, Marcus SM, Cagir B. Comparison of conventional and nonconventional strictureplasties in Crohn's disease: a systematic review and meta-analysis. Dis Colon Rectum 2012; 55 (06) 714-726
- 13 Yamazaki Y, Ribeiro MB, Sachar DB, Aufses Jr AH, Greenstein AJ. Malignant colorectal strictures in Crohn's disease. Am J Gastroenterol 1991; 86 (07) 882-885
- 14 Fumery M, Pineton de Chambrun G, Stefanescu C. et al. Detection of dysplasia or cancer in 3.5% of patients with inflammatory bowel disease and colonic strictures. Clin Gastroenterol Hepatol 2015; 13 (10) 1770-1775
- 15 Bernstein CN, Blanchard JF, Kliewer E, Wajda A. Cancer risk in patients with inflammatory bowel disease: a population-based study. Cancer 2001; 91 (04) 854-862
- 16 Dubois-Camacho K, Ottum PA, Franco-Muñoz D. et al. Glucocorticosteroid therapy in inflammatory bowel diseases: from clinical practice to molecular biology. World J Gastroenterol 2017; 23 (36) 6628-6638
- 17 Lichtenstein GR, Loftus EV, Isaacs KL, Regueiro MD, Gerson LB, Sands BE. ACG clinical guideline: management of Crohn's disease in adults. Am J Gastroenterol 2018; 113 (04) 481-517
- 18 Cosnes J, Nion-Larmurier I, Beaugerie L, Afchain P, Tiret E, Gendre JP. Impact of the increasing use of immunosuppressants in Crohn's disease on the need for intestinal surgery. Gut 2005; 54 (02) 237-241
- 19 Jeuring SF, van den Heuvel TR, Liu LY. et al. Improvements in the long-term outcome of Crohn's disease over the past two decades and the relation to changes in medical management: results from the population-based IBDSL cohort. Am J Gastroenterol 2017; 112 (02) 325-336
- 20 Ostro MJ, Greenberg GR, Jeejeebhoy KN. Total parenteral nutrition and complete bowel rest in the management of Crohn's disease. JPEN J Parenter Enteral Nutr 1985; 9 (03) 280-287
- 21 Heimann TM, Greenstein AJ, Mechanic L, Aufses Jr AH. Early complications following surgical treatment for Crohn's disease. Ann Surg 1985; 201 (04) 494-498
- 22 Ayoub F, Kamel AY, Ouni A. et al. Pre-operative total parenteral nutrition improves post-operative outcomes in a subset of Crohn's disease patients undergoing major abdominal surgery. Gastroenterol Rep (Oxf) 2019; 7 (02) 107-114
- 23 Cottone M, Rosselli M, Orlando A. et al. Smoking habits and recurrence in Crohn's disease. Gastroenterology 1994; 106 (03) 643-648
- 24 Bessissow T, Reinglas J, Aruljothy A, Lakatos PL, Van Assche G. Endoscopic management of Crohn's strictures. World J Gastroenterol 2018; 24 (17) 1859-1867
- 25 Bettenworth D, Gustavsson A, Atreja A. et al. A pooled analysis of efficacy, safety, and long-term outcome of endoscopic balloon dilation therapy for patients with stricturing Crohn's disease. Inflamm Bowel Dis 2017; 23 (01) 133-142
- 26 East JE, Brooker JC, Rutter MD, Saunders BP. A pilot study of intrastricture steroid versus placebo injection after balloon dilatation of Crohn's strictures. Clin Gastroenterol Hepatol 2007; 5 (09) 1065-1069
- 27 American College of Gastroenterology. Accessed March 23, 2020 at: https://gi.org
- 28 British Society of Gastroenterology. Accessed March 23, 2020 at: https://www.bsg.org.uk/
- 29 Chang CW, Wong JM, Tung CC, Shih IL, Wang HY, Wei SC. Intestinal stricture in Crohn's disease. Intest Res 2015; 13 (01) 19-26
- 30 Sevim Y, Akyol C, Aytac E, Baca B, Bulut O, Remzi FH. Laparoscopic surgery for complex and recurrent Crohn's disease. World J Gastrointest Endosc 2017; 9 (04) 149-152
- 31 Shigeta K, Okabayashi K, Hasegawa H, Tsuruta M, Seishima R, Kitagawa Y. Meta-analysis of laparoscopic surgery for recurrent Crohn's disease. Surg Today 2016; 46 (08) 970-978
- 32 Tilney HS, Constantinides VA, Heriot AG. et al. Comparison of laparoscopic and open ileocecal resection for Crohn's disease: a metaanalysis. Surg Endosc 2006; 20 (07) 1036-1044
- 33 Milsom JW, Hammerhofer KA, Böhm 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 (01) 1-8 , discussion 8–9
- 34 Rosman AS, Melis M, Fichera A. Metaanalysis of trials comparing laparoscopic and open surgery for Crohn's disease. Surg Endosc 2005; 19 (12) 1549-1555
- 35 Landerholm K, Reali C, Mortensen NJ, Travis SPL, Guy RJ, George BD. Short- and long-term outcomes of strictureplasty for obstructive Crohn's disease. Colorectal Dis 2020; 22 (09) 1159-1168
- 36 Jobanputra S, Weiss EG. Strictureplasty. Clin Colon Rectal Surg 2007; 20 (04) 294-302
- 37 Michelassi F, Hurst RD, Melis M. et al. Side-to-side isoperistaltic strictureplasty in extensive Crohn's disease: a prospective longitudinal study. Ann Surg 2000; 232 (03) 401-408