Strictureplasty for ileo-colic anastomotic strictures in Crohn's disease.

Abstract:

:We report an audit of outcome on 24 patients (16 females) who had a strictureplasty to treat ileo-colic anastomotic strictures. All except one patient had their original resection for Crohn's disease, and required reoperation because of symptoms of recurrent intestinal obstruction for a mean 9.3 months (range 1-36); the remaining patient was discovered to have ileo-colic anastomotic stricture before he underwent laparotomy for closure of loop ileostomy. At operation, four patients needed additional small bowel strictureplasties, two of whom also underwent small bowel resection for separate areas of phlegmonous disease. There was no post-operative mortality, three patients developed wound infection and one had a pelvic abscess, which settled on antibiotic therapy. Two patients have since died of unrelated disease. Five patients have since needed reoperation for recurrence; only one had a stricture at the site of previous strictureplasty. Over a mean follow-up of 70.8 months (range 18-393) all 22 living patients now have complete relief of symptoms.

journal_name

Int J Colorectal Dis

authors

Sharif H,Alexander-Williams J

doi

10.1007/BF00341394

subject

Has Abstract

pub_date

1991-11-01 00:00:00

pages

214-6

issue

4

eissn

0179-1958

issn

1432-1262

journal_volume

6

pub_type

杂志文章
  • Normal colonic transit time predicts the outcome of colonic manometry in patients with chronic constipation-an exploratory study.

    abstract:PURPOSE:Colonic manometry (CM) can be of additive value in the diagnostic workup of colonic motility in chronic constipated patients. However, it is claimed that colonic motor disturbances occur in normal-transit constipation (NTC) and slow-transit (STC) constipation, as measured using a radio-opaque marker study, and ...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/s00384-019-03376-1

    authors: Vork L,van Avesaat MHP,van Hoboken EA,Kruimel JW,Conchillo JM,Keszthelyi D,Masclee AAM

    更新日期:2019-10-01 00:00:00

  • Screening for the effectiveness of conservative treatment in chronic anal fissure patients using anorectal manometry.

    abstract:PURPOSE:Chemical sphincterotomy (CS) is routinely applied in order to avoid the irreversible anal incontinence associated with the surgical treatment of chronic anal fissure (CAF). However, CS has a lower cure rate than surgery. We developed a screening test (using anal manometry) to separate those patients that are un...

    journal_title:International journal of colorectal disease

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00384-010-0885-x

    authors: Gil J,Luján J,Hernández Q,Gil E,Salom MG,Parrilla P

    更新日期:2010-05-01 00:00:00

  • Long-term oncological outcomes following emergency resection of colon cancer.

    abstract:PURPOSE:The relationship between emergency colon cancer resection and long-term oncological outcomes is not well understood. Our objective was to characterize the impact of emergency resection for colon cancer on disease-free and overall patient survival. METHODS:Data on patients undergoing resection for colon cancer ...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/s00384-018-3109-4

    authors: Wanis KN,Ott M,Van Koughnett JAM,Colquhoun P,Brackstone M

    更新日期:2018-11-01 00:00:00

  • Long-term outcome after one-stage surgery without preoperative decompression for stage II/III malignant colorectal obstruction: a propensity score-matched analysis.

    abstract:PURPOSE:Whether malignant colorectal obstruction (MCO) after one-stage curative surgery without preoperative decompression has a poor prognosis remains unclear. We assessed long-term outcomes of one-stage surgery without preoperative decompression for stage II/III MCO. METHODS:We retrospectively enrolled patients with...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/s00384-019-03413-z

    authors: Takeyama H,Ikeda K,Danno K,Nishigaki T,Yamashita M,Taniguchi H,Oka Y

    更新日期:2019-11-01 00:00:00

  • Ileostomy adenocarcinoma in Crohn's disease.

    abstract:PURPOSE:Adenocarcinoma of an ileostomy is rare with less than 50 reported cases in the literature. Ileostomy adenocarcinoma in Crohn's disease is even more rare, with only 4 reported cases. We present a case of ileostomy adenocarcinoma with lymph node metastasis occurring 51 years after proctocolectomy and Brooke ileos...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/s00384-020-03554-6

    authors: Yousaf A,Beatty C,Zinn Z,Cassim R,Gayam S

    更新日期:2020-05-01 00:00:00

  • Comparison of short- and long-term outcomes after extralevator abdominoperineal excision and standard abdominoperineal excision for rectal cancer: a systematic review and meta-analysis.

    abstract:PURPOSE:Whether the introduction of extralevator abdominoperineal excision (ELAPE) improves survival and safety remains controversial. We conducted a systematic review and meta-analysis of all comparative studies to define the efficacy and safety of ELAPE and standard abdominoperineal excision (APE). MATERIALS AND MET...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s00384-013-1793-7

    authors: Yu HC,Peng H,He XS,Zhao RS

    更新日期:2014-02-01 00:00:00

  • Pouchitis and gastric hyposecretion: cause or effect?

    abstract::Pouchitis is a well recognized entity but its aetiology is still controversial. The aim of this study is to determine if gastric acidity has a role in the physiopathology of this problem. In a series of 70 consecutive patients with pelvic reservoir (65 mucosal ulcerative colitis (UC), 5 familial adenomatous polyposis ...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/BF00300403

    authors: Dubé S,Heyen F

    更新日期:1990-08-01 00:00:00

  • Scintigraphic assessment of colonic function during defaecation.

    abstract::The aim of this study was to develop a method by which rectal and colonic activity could be examined during defaecation under physiological conditions, in order to evaluate whether the colon plays a role in defaecation. Subjects presented to the Nuclear Medicine department on the day following ingestion of oral In-111...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/BF00341204

    authors: Lubowski DZ,Meagher AP,Smart RC,Butler SP

    更新日期:1995-01-01 00:00:00

  • Biosutures improve healing of experimental weak colonic anastomoses.

    abstract:PURPOSE:Use of biosutures in animal models of colonic anastomoses is associated with decreased adhesions without affecting anastomotic strength. This study aimed to evaluate the effect of biosutures on colonic anastomoses kept free of adhesions by peritoneal instillation of icodextrin 4%. METHODS:Three types of coloni...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/s00384-010-0952-3

    authors: Pascual I,Fernández de Miguel G,García Arranz M,García-Olmo D

    更新日期:2010-12-01 00:00:00

  • Colorectal cancer surveillance in Portuguese families with lynch syndrome: a cohort study.

    abstract:PURPOSE:Lynch syndrome (LS) is associated with a high risk of colorectal cancer (CRC). The aim of this study was to assess the cumulative risk for the development of colorectal adenomas or carcinomas in a LS CRC surveillance program and to audit the quality of the endoscopic procedures. METHODS:We evaluated 147 asympt...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/s00384-018-3002-1

    authors: Vale Rodrigues R,Claro I,Lage P,Rosa I,Ferreira S,Pereira da Silva J,Dias Pereira A

    更新日期:2018-06-01 00:00:00

  • Prolonged activation of mitogen-activated protein kinases during NSAID-induced apoptosis in HT-29 colon cancer cells.

    abstract::The mechanisms of the antineoplastic effect of nonsteroidal anti-inflammatory drugs (NSAIDs) still are unknown, but the induction of apoptosis is one of the possible mechanisms. We attempted to demonstrate the role of mitogen-activated protein (MAP) kinases, generally considered to be important mediators of proliferat...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/s003840100301

    authors: Kim TI,Jin SH,Kim WH,Kang EH,Choi KY,Kim HJ,Shin SK,Kang JK

    更新日期:2001-06-01 00:00:00

  • Synergistical toll-like receptors activated dendritic cells induce antitumor effects against carcinoembryonic antigen-expressing colon cancer.

    abstract:PURPOSE:Dendritic cell (DC)-based cancer vaccine represents a promising immunotherapy against cancer. There has been recent evidence which have suggested that toll-like receptor (TLR) ligands may be critical for DC preparation; this was usually omitted in the past. Our study is designed to investigate if the vaccinatio...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/s00384-012-1530-7

    authors: Hong X,Dong T,Hu J,Yi T,Li W,Zhang Z,Lin S,Niu W

    更新日期:2013-01-01 00:00:00

  • Computed tomography diagnosed first time diverticulitis and colorectal cancer.

    abstract:BACKGROUND:Computed tomography (CT) with intravenous contrast is the gold standard for diagnosing diverticulitis. Published results concerning follow-up colonoscopy after an episode of acute diverticulitis to rule out cancer are conflicting. This study aimed to evaluate the risk of underlying colonic malignancy in pati...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/s00384-020-03607-w

    authors: Fogelstrom A,Hallen F,Pekkari K

    更新日期:2020-10-01 00:00:00

  • Outpatient, non-antibiotic management in acute uncomplicated diverticulitis: a prospective study.

    abstract:PURPOSE:The aim of this study was to evaluate outpatient, non-antibiotic management in acute uncomplicated diverticulitis with regard to admissions, complications, and recurrences, within a 3-month follow-up period. METHODS:A prospective, observational study in which patients with computer tomography-verified acute un...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/s00384-015-2258-y

    authors: Isacson D,Thorisson A,Andreasson K,Nikberg M,Smedh K,Chabok A

    更新日期:2015-09-01 00:00:00

  • Dysplasia detection is similar between chromoendoscopy and high-definition white-light colonoscopy in inflammatory bowel disease patients: a US-matched case-control study.

    abstract:INTRODUCTION:Inflammatory bowel disease (IBD) patients are at greater risk of developing colorectal cancer (CRC). Detection of precursor dysplasia is important for cancer prevention. Recent guidelines recommend dye chromoendoscopy (DCE) as the preferred method for dysplasia detection. Universal adoption of DCE is time-...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/s00384-020-03719-3

    authors: Clarke K,Kang M,Gorrepati VS,Stine JG,Tinsley A,Williams E,Moyer M,Coates M

    更新日期:2020-12-01 00:00:00

  • Survival after acute colon diverticulitis treated in hospital.

    abstract:PURPOSE:The aim of this study was to determine the short- and long-term relative survival as well as the causes of death in patients treated in hospital for acute colonic diverticulitis. MATERIALS AND METHODS:The study included all patients treated at Levanger Hospital for acute colonic diverticulitis between 1988 and...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/s00384-014-1946-3

    authors: Edna TH,Jamal Talabani A,Lydersen S,Endreseth BH

    更新日期:2014-11-01 00:00:00

  • Simultaneous determination of matrix metalloproteinase (MMP)-7, MMP-1, -3, and -13 gene expression by multiplex PCR in colorectal carcinomas.

    abstract:BACKGROUND AND AIMS:MMP-7, a member of the matrix metalloproteinase family, is believed to play a significant role in the growth and proliferation of colon cancer cells. The aim of this study was to evaluate MMP-7 gene expression in comparison with MMP-1, MMP-3, and MMP-13 in patients with resectable rectal and colon c...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/s00384-004-0592-6

    authors: Roeb E,Arndt M,Jansen B,Schumpelick V,Matern S

    更新日期:2004-11-01 00:00:00

  • Optimal time for single-stage pull-through colectomy in infants with short-segment Hirschsprung disease.

    abstract:OBJECTIVE:Short-segment Hirschsprung disease (HSCR) is the predominant type of HSCR that affects approximately 75% of patients. Whether single-stage endorectal pull-through (ERPT) surgery is appropriate for neonatal patients with HSCR has not been definitively determined. This retrospective cohort study concerning infa...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/s00384-018-3179-3

    authors: Zhu T,Sun X,Wei M,Yi B,Zhao X,Wang W,Feng J

    更新日期:2019-02-01 00:00:00

  • Nomogram for predicting anastomotic leakage after low anterior resection for rectal cancer.

    abstract:PURPOSE:Anastomotic leakage after low anterior resection for rectal cancer is a critical problem. Many risk factors have been suggested and surgical techniques have improved, but anastomotic leakage remains a major postoperative challenge. This study sought to create a nomogram for precise prediction of anastomotic lea...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/s00384-018-2970-5

    authors: Hoshino N,Hida K,Sakai Y,Osada S,Idani H,Sato T,Takii Y,Bando H,Shiomi A,Saito N

    更新日期:2018-04-01 00:00:00

  • Inclusion of cytological features in tumor grading improves prognostic stratification of patients with colorectal cancer.

    abstract:PURPOSE:Tumor grade is a traditional prognostic parameter in colorectal cancer. Remarkably, however, there is still no generally accepted consensus how to perform tumor grading. In this study, we systematically compared the prognostic value of traditional grading based upon histological features, that is, gland formati...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/s00384-015-2495-0

    authors: Resch A,Harbaum L,Pollheimer MJ,Kornprat P,Lindtner RA,Langner C

    更新日期:2016-03-01 00:00:00

  • Post-polypectomy surveillance colonoscopy: are we following the guidelines?

    abstract:PURPOSE:Polyps are a common finding on colonoscopy procedures. After completing polypectomy, patients are to be followed up with endoscopy. The purpose of the study was to assess the adherence of gastroenterologists to international post-polypectomy guidelines. METHODS:Israeli gastroenterologists answered a questionna...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/s00384-020-03556-4

    authors: Abu Freha N,Abu Tailakh M,Elkrinawi J,Abu Kaf H,Philip A,Schwartz D,Yahia A,Etzion O

    更新日期:2020-07-01 00:00:00

  • Impact of restless legs syndrome in patients with inflammatory bowel disease on sleep, fatigue, and quality of life.

    abstract:PURPOSE:Inflammatory bowel disease has been associated with neurological symptoms including restless legs syndrome. Here, we investigated the impact of restless legs syndrome in patients with inflammatory bowel disease on sleep, fatigue, mood, cognition, and quality of life. METHODS:Two groups of inflammatory bowel di...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/s00384-016-2681-8

    authors: Schindlbeck KA,Becker J,Berger F,Mehl A,Rewitzer C,Geffe S,Koch PM,Preiß JC,Siegmund B,Maul J,Marzinzik F

    更新日期:2017-01-01 00:00:00

  • Confocal chromolaser endomicroscopy: a supplemental diagnostic tool prior to transanal endoscopic microsurgery of rectal tumors?

    abstract:PURPOSE:Due to diagnostic advancements, preoperative staging of rectal tumors was significantly improved. However, difficulties in obtaining accurate results can sometimes be observed in the staging of adenomas and early rectal carcinomas (pT1/2). The aim of this study was to test if confocal chromolaser endomicroscopy...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/s00384-009-0813-0

    authors: Borschitz T,Kiesslich R

    更新日期:2010-01-01 00:00:00

  • Macrophages promote tumour growth and liver metastasis in an orthotopic syngeneic mouse model of colon cancer.

    abstract:PURPOSE:Tumour-associated macrophages have been shown to promote proliferation, angiogenesis and metastasis in several carcinomas. The effect on colon cancer has not yet been clarified. Furthermore, Kupffer cells in the liver might initiate the formation of metastases by directly binding tumour cells. METHODS:An ortho...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/s00384-013-1703-z

    authors: Kruse J,von Bernstorff W,Evert K,Albers N,Hadlich S,Hagemann S,Günther C,van Rooijen N,Heidecke CD,Partecke LI

    更新日期:2013-10-01 00:00:00

  • D3 lymph node dissection reduces recurrence after primary resection for elderly patients with colon cancer.

    abstract:PURPOSE:The favorable oncological impact of D3 lymph node dissection after colon cancer surgery has been described previously. However, D3 lymph node dissection is potentially more invasive than conventional D2 lymph node dissection. The oncological merit of D3 lymph node dissection in elderly patients with colon cance...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/s00384-018-03233-7

    authors: Numata M,Sawazaki S,Aoyama T,Tamagawa H,Sato T,Saeki H,Saigusa Y,Taguri M,Mushiake H,Oshima T,Yukawa N,Shiozawa M,Rino Y,Masuda M

    更新日期:2019-04-01 00:00:00

  • Is emergency right hemicolectomy still associated with significant morbidity and mortality rates? An institution's experience of 207 cases over 6 years.

    abstract:INTRODUCTION:Emergency right hemicolectomy has been associated with dismal outcome. But, data in Asians is lacking as pathologies that require emergency right hemicolectomy may differ from that in the Western population. The aims of our study were to review our institution's experience with emergency right hemicolectom...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/s00384-011-1203-y

    authors: Tan KK,Liu JZ,Yeow Y,Gunasekaran S,Tan JJ

    更新日期:2011-09-01 00:00:00

  • Preoperative chemoradiotherapy changes the size criterion for predicting lateral lymph node metastasis in lower rectal cancer.

    abstract:PURPOSE:The purpose of this study was to identify the size criteria of lateral lymph node metastasis in lower rectal cancer both in patients who underwent preoperative CRT and those who did not. METHODS:This study enrolled 150 patients who underwent resection for primary lower rectal adenocarcinoma with lateral lymph ...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/s00384-017-2873-x

    authors: Yamaoka Y,Kinugasa Y,Shiomi A,Yamaguchi T,Kagawa H,Yamakawa Y,Numata M,Furutani A

    更新日期:2017-11-01 00:00:00

  • Anal endosonography for assessment of anal incontinence with a linear probe: relationships with clinical and manometric features.

    abstract:BACKGROUND AND AIMS:This study determined correlations of clinical and manometric features with those of anal endosonography (AES). PATIENTS AND METHODS:Between 1996 and 1999 we examined 58 patients suffering from anal incontinence (AI) by AES using a linear probe and anorectal manometry following a standardized proto...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/s003840100354

    authors: Barthet M,Bellon P,Abou E,Portier F,Berdah S,Lesavre N,Orsoni P,Bouvier M,Grimaud JC

    更新日期:2002-03-01 00:00:00

  • Rectal cancer recurrence after prior resection and radiotherapy: palliation following additional surgery.

    abstract:UNLABELLED:Patients with rectal cancer may develop local recurrence despite cancer resection plus treatment with high dose radiation therapy. In this report, symptomatic patients received benefit from repeat resection. The morbidity and mortality can be maintained at an acceptable level with meticulous dissections and ...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/s003840050049

    authors: Verrees JF,Fernandez-Trigo V,Sugarbaker PH

    更新日期:1996-01-01 00:00:00

  • Equivalent Helicobacter pylori infection rates in Lynch syndrome mutation carriers with and without a first-degree relative with gastric cancer.

    abstract:BACKGROUND:Patients with Lynch syndrome (LS) are at an increased risk of developing gastric cancer. In 2010, a guideline that recommended to screen all patients for Helicobacter pylori was implemented in the Netherlands. H. pylori is an important risk factor in the development of gastric cancer in the general populatio...

    journal_title:International journal of colorectal disease

    pub_type: 杂志文章

    doi:10.1007/s00384-016-2524-7

    authors: Soer EC,Leicher LW,Langers AM,van de Meeberg PC,van der Wouden EJ,Koornstra JJ,Bigirwamungu-Bargeman M,Vasen HF,de Vos tot Nederveen Cappel WH

    更新日期:2016-03-01 00:00:00