Su1849 - Gallstone Disease Necessitating Cholecystectomy after Ileal or Ileocecal Resection in Crohn's Disease: A Nationwide Cohort Study in the Netherlands

2018 ◽  
Vol 154 (6) ◽  
pp. S-606
Author(s):  
Evelien Beelen ◽  
Jorn Goet ◽  
Katharina Biermann ◽  
Annette Gijsbers ◽  
Willem R. Schouten ◽  
...  
Author(s):  
K. Horisberger ◽  
D. L. Birrer ◽  
A. Rickenbacher ◽  
M. Turina

Abstract Purpose The most frequent long-term complication after ileocecal resection in Crohn’s disease is anastomotic recurrence and subsequent stenosis. Recurrence typically begins at the site of the anastomosis, raising the question of whether the surgical technique of the anastomosis could affect recurrence rates. Kono-S anastomosis is a hand-sewn antimesenteric functional end-to-end anastomosis that offers a wide lumen that is well accessible for endoscopic dilatation. The purpose of our study is to review the rate of postoperative complications almost 2 years after the introduction of this technique. Materials and methods This is a prospective single-center cohort study of all consecutive patients with Crohn’s disease undergoing ileocecal resection. Patients’ characteristics as well as specific data for the surgical procedure and short-term outcome were evaluated. Results Thirty patients were operated for Crohn’s disease of the terminal ileum (n = 24) or anastomotic recurrence (n = 6). Postoperative complications with a Clavien-Dindo Score ≥ IIIb were observed in three patients. One patient showed a hemorrhage and underwent surgical hemostasis. Two patients developed anastomotic leakage; in both cases, ileostomy was created after resection of the anastomosis. The median hospital stay was 9 days (IQR 7–12). A comparison with a historic group of conventionally operated patients of our hospital revealed no differences in short-term results except for the duration of surgery. Conclusion The Kono-S anastomosis is associated with acceptable short-term results, complications, and recurrence rates comparable with the established anastomotic techniques. Longer operation times are observed, but the few published studies concerning long-term recurrence are promising.


2016 ◽  
Vol 61 (7) ◽  
pp. 2060-2067 ◽  
Author(s):  
Sang Hyoung Park ◽  
Sung Wook Hwang ◽  
Min Seob Kwak ◽  
Wan Soo Kim ◽  
Jeong-Mi Lee ◽  
...  

2019 ◽  
Vol 13 (Supplement_1) ◽  
pp. S415-S416
Author(s):  
A Eberl ◽  
T Hallinen ◽  
C-G af Björkesten ◽  
M Heikkinen ◽  
E Hirsi ◽  
...  

2015 ◽  
Vol 148 (4) ◽  
pp. S-22-S-23 ◽  
Author(s):  
Steven Jeuring ◽  
Tim Van den Heuvel ◽  
Maurice Zeegers ◽  
Wim Hameeteman ◽  
Mariëlle Romberg-Camps ◽  
...  

2017 ◽  
Vol 11 (suppl_1) ◽  
pp. S375-S375
Author(s):  
K. Hartery ◽  
C. Moran ◽  
J. Sheridan ◽  
D. Keegan ◽  
K. Byrne ◽  
...  

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