Linked Life Data

9816448

Source:http://linkedlifedata.com/resource/pubmed/id/9816448

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
1999-1-26
pubmed:abstractText
Patients with Crohn's disease are operated on with a morbidity of 15% and a mortality of 0% if the indication for surgery is decided in good time. After ileocecal resection the probability of having a second resection in 15-20 years is about 50%. When elective surgery is done at an early disease stage, ileocecal resections and reoperations for anastomotic stenosis can be performed by assisted laparoscopy assisted. Laparoscopic colonic resections are done more rarely. Acute and life-threatening conditions such as obstruction, perforation and sepsis are excluded from the laparoscopic approach. In a combined series of 222 laparoscopic resections for Crohn's disease, the following types of surgery were included: ileocecal resections (75), anastomotic resections (26), small intestinal resections (4), loop ileostomies (17), gastrojejunostomies (3), partial colonic resections (15), colectomies (16), loop colostomies (2) and one adhesiolysis. Two patients who sustained intraoperative bleeding underwent conversion of laparotomy. The conversion rate ranged from 0 to 22%. Reasons for 32 conversions were: large inflammatory mass (14), severe inflammation (5), fistula (3), abscess (1), perforation (1), small intestine dilation (1) and mesenteric thickening (1). Mean operative time for ileocecal resections ranged from 105 to 200 min. The postoperative hospital stay was 5 to 8 days. As more experience is gained and technical improvement is achieved, additional procedures such as resolution of severe adhesions, fistula closure and resections of colonic segments will be offered to the majority of patients who require elective surgery for localized Crohn's disease.
pubmed:language
ger
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0009-4722
pubmed:author
pubmed:issnType
Print
pubmed:volume
69
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
915-21
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1998
pubmed:articleTitle
[Minimally invasive surgery and Crohn disease].
pubmed:affiliation
Abteilung für Allgemeine Chirurgie, Abdominal- und Gefässchirurgie, Universitätskliniken des Saarlandes, Homburg.
pubmed:publicationType
Journal Article, English Abstract, Review