Short- and Long-term Outcomes Following Side-to-side Strictureplasty and its Modification Over the Ileocaecal Valve for Extensive Crohn's Ileitis
Short- and Long-term Outcomes Following Side-to-side Strictureplasty and its Modification Over the Ileocaecal Valve for Extensive Crohn's Ileitis
复制标题
DOI：
10.1093/ecco-jcc/jjaa066
复制
发表时间：
2020-10-01
影响因子：
8
通讯作者：
D'Hoore, A.
中科院分区：
文献类型：
--
作者：
Bislenghi, G.;Ferrante, M.;D'Hoore, A.
背景和目的：克罗恩病患者术后复发仍然是一个具有挑战性的问题[CD]。为了避免短肠综合征的发展，因此提出了狭窄成形术技术。我们评估了短期和长期的CD患者广泛的肠道involvement.Methods：侧到侧isoperistaltic狭窄成形术（SSIS）的非典型狭窄的结果进行根据Michelassi技术或修改这在回盲瓣[mSSIS]。使用综合并发症指数[CCI]评估术后90天的发病率。临床复发定义为经内镜或放射学证实的症状性狭窄/炎性病变，需要药物治疗或手术。手术复发定义为需要任何手术干预。内镜缓解定义为：
Background and Aims: Postoperative recurrence remains a challenging problem in patients with Crohn's disease [CD]. To avoid development of short bowel syndrome, strictureplasty techniques have therefore been proposed. We evaluated short- and long-term outcomes of atypical strictureplasties in CD patients with extensive bowel involvement.Methods: Side-to-side isoperistaltic strictureplasty [SSIS] was performed according to the Michelassi technique or modification of this over the ileocaecal valve [mSSIS]. Ninety-day postoperative morbidity was assessed using the comprehensive complication index [CCI]. Clinical recurrence was defined as symptomatic, endoscopically or radiologically confirmed, stricture/inflammatory lesion requiring medical treatment or surgery. Surgical recurrence was defined as the need for any surgical intervention. Endoscopic remission was defined as