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Intraoperative inspection alone is a reliable guide to the choice of surgical procedure for enteroenteric fistulas in Crohn's disease
- Source :
- Intestinal Research, Vol 16, Iss 2, Pp 282-287 (2018)
- Publication Year :
- 2018
- Publisher :
- Korean Association for the Study of Intestinal Diseases, 2018.
-
Abstract
- Background/AimsResection of the diseased segment and suture of the victim segment is recommended for enteroenteric fistula in Crohn's disease (CD). The main difficulty in this procedure remains reliable diagnosis of the victim segment, especially for fistulas found intraoperatively and inaccessible on endoscopic examination. We aimed to explore whether intraoperative inspection alone is reliable.MethodsPatients undergoing conservative surgery between 2011 and 2016 for enteroenteric fistulas complicating CD were identified from a prospectively maintained database. Patients were divided according to whether the victim segment was evaluated by preoperative endoscopy + intraoperative inspection (PI group) or by intraoperative inspection alone (I group). Outcomes were compared.ResultsOf 65 patients eligible for the study, 37 were in in the PI group and 28 were in the I group. The baseline characteristics were similar between the groups, except for the rate of emergency surgery (0/37 in PI group vs. 5/28 in I group, P=0.012). Fistulas involved more small intestines (4/37 in PI group vs. 15/28 in I group, P0.05).ConclusionsFor fistulas found intraoperatively and inaccessible on endoscopic examination, intraoperative inspection was a reliable guide when choosing between en bloc resection and a conservative procedure.
Details
- Language :
- English
- ISSN :
- 15989100 and 22881956
- Volume :
- 16
- Issue :
- 2
- Database :
- Directory of Open Access Journals
- Journal :
- Intestinal Research
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.87117e966e24d65adfae4aaa3a6a371
- Document Type :
- article
- Full Text :
- https://doi.org/10.5217/ir.2018.16.2.282