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Reoperative Surgery in Complex Crohn's Disease.

Jennifer A Leinicke¹, David W Dietz¹

¹Department of Surgery-Colorectal, University Hospitals Cleveland Medical Center, Cleveland, Ohio.

Clinics in Colon and Rectal Surgery

|July 6, 2019

Summary

This guide details reoperative surgery for Crohn's disease, covering repeat resections and complex reconstructions. It addresses surgical options for complications and the potential for small bowel transplantation.

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Area of Science:

Gastroenterology
Surgical Oncology

Background:

Crohn's disease often requires multiple surgical interventions.
Reoperative surgery presents unique technical challenges and indications.

Purpose of the Study:

To outline a structured approach to the technical aspects of reoperative surgery for Crohn's disease.
To discuss specific surgical indications and advanced reconstructive techniques.

Main Methods:

Review of indications for repeat ileocolic resection.
Discussion of surgical management for ileal pouch anal anastomosis and continent ileostomy complications.
Analysis of completion proctectomy procedures.
Evaluation of small bowel transplant as a therapeutic option.

Main Results:

Keywords:

Crohn's disease completion proctectomy continent ileostomy ileal pouch anal anastomosis ileocolic resection intestinal failure pelvic surgery reoperative surgery small bowel transplantation

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Structured technical guidance for reoperative Crohn's surgery.
Clarification of indications for various surgical procedures.
Insights into managing complex Crohn's disease complications surgically.

Conclusions:

Reoperative surgery is a critical component in managing advanced Crohn's disease.
A systematic approach optimizes outcomes for complex cases.
Small bowel transplantation offers a solution for intractable disease.