scholarly journals Correction to: Surgical management of complex ileocolonic Crohn’s disease: a survey of IBD colorectal surgeons to assess variability in operative strategy

Author(s):  
E Garofalo ◽  
F Selvaggi ◽  
A Spinelli ◽  
G Pellino ◽  
K Flashman ◽  
...  
Author(s):  
E Garofalo ◽  
F Selvaggi ◽  
A Spinelli ◽  
G Pellino ◽  
K Flashman ◽  
...  

Abstract Introduction To explore the reported variability in the surgical management of ileocolonic Crohn’ s disease and identify areas of standard practice, we present this study which aims to assess how different colorectal surgeons with a subspecialty interest in inflammatory bowel disease (IBD) surgery may act in different clinical scenarios of ileocolonic Crohn’s disease. Methods Anonymous videos demonstrating the small bowel walkthrough and anonymised patients’ clinical data, imaging and pathological findings were distributed to the surgeons using an electronic tool. Surgeons answered on operative strategy, bowel resections, management of small bowel mesentery, type of anastomosis and use of stomas. Results Eight small bowel walkthrough videos were registered and 12 assessors completed the survey with a questionnaire completion rate of 87.5%. There was 87.7% agreement in the need to perform an ileocolonic resection. However, the agreement for the need to perform associated surgical procedures such as strictureplasties or further bowel resections was only 57.4%. When an anastomosis was fashioned, the side to side configuration was the most commonly used. The preferred management of the mesentery was dissection close to the bowel. Conclusions The decision on the main procedure to be performed had a high agreement amongst the different assessors, but the treatment of multifocal disease was highly controversial, with low agreement on the need for associated procedures to treat internal fistulae and the use of strictureplasties. At the same time, there was significant heterogeneity in the decision on when to anastomose and when to fashion an ileostomy.


Gut ◽  
1994 ◽  
Vol 35 (9) ◽  
pp. 1330-1330
Author(s):  
N Mortensen

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Faruk Karateke ◽  
Ebru Menekşe ◽  
Koray Das ◽  
Sefa Ozyazici ◽  
Pelin Demirtürk

Crohn's disease may affect any segment of the gastrointestinal tract; however, isolated duodenal involvement is rather rare. It still remains a complex clinical entity with a controversial management of the disease. Initially, patients with duodenal Crohn' s disease (DCD) are managed with a combination of antiacid and immunosuppressive therapy. However, medical treatment fails in the majority of DCD patients, and surgical intervention is required in case of complicated disease. Options for surgical management of complicated DCD include bypass, resection, or stricturoplasty procedures. In this paper, we reported a 33-year-old male patient, who was diagnosed with isolated duodenal Crohn’s diseases, and reviewed the surgical options in the literature.


2015 ◽  
Vol 19 (10) ◽  
pp. 1862-1868 ◽  
Author(s):  
Cristina B. Geltzeiler ◽  
Kyle D. Hart ◽  
Kim C. Lu ◽  
Karen E. Deveney ◽  
Daniel O. Herzig ◽  
...  

2018 ◽  
Vol 227 (4) ◽  
pp. e104
Author(s):  
Nicholas P. McKenna ◽  
Kellie L. Mathis ◽  
Elizabeth B. Habermann ◽  
Amy L. Lightner

2019 ◽  
Vol 54 (12) ◽  
pp. 2554-2558 ◽  
Author(s):  
Victoria K. Forsdick ◽  
Sharman P. Tan Tanny ◽  
Sebastian K. King

1993 ◽  
Vol 80 (12) ◽  
pp. 1596-1598 ◽  
Author(s):  
N. Williams ◽  
N. A. Scott ◽  
J. S. Watson ◽  
M. H. Irving

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