Laparoscopic Surgery for Recurrent Crohn's Disease

In spite of the recent improvements in drug therapy, surgery still represents the most frequent treatment for Crohn's disease (CD) complications. Laparoscopy has been widely applied over the last twenty years in colorectal surgery and was associated with lower postoperative pain, shorter hospit...

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Main Authors: Antonino Spinelli, Matteo Sacchi, Piero Bazzi, Nicoletta Leone, Silvio Danese, Marco Montorsi
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/381017
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author Antonino Spinelli
Matteo Sacchi
Piero Bazzi
Nicoletta Leone
Silvio Danese
Marco Montorsi
author_facet Antonino Spinelli
Matteo Sacchi
Piero Bazzi
Nicoletta Leone
Silvio Danese
Marco Montorsi
author_sort Antonino Spinelli
collection DOAJ
description In spite of the recent improvements in drug therapy, surgery still represents the most frequent treatment for Crohn's disease (CD) complications. Laparoscopy has been widely applied over the last twenty years in colorectal surgery and was associated with lower postoperative pain, shorter hospitalization, faster return to daily activities, and better cosmetic results. Laparoscopy experienced a slower diffusion in inflammatory bowel disease surgery than in oncologic colorectal surgery, but proved to be safe and effective, and is currently considered the gold standard for the treatment of primary uncomplicated ileocolic CD. Indications for laparoscopy in CD have recently been widened to embrace more complicated or recurrent CD. This paper reviews the available data on the subset of recurrent CD patients. The reported results indicate that laparoscopy may be safely applied even in selected recurrent CD cases in hands of IBD surgeons with broad laparoscopic experience.
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institution Kabale University
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publishDate 2012-01-01
publisher Wiley
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series Gastroenterology Research and Practice
spelling doaj-art-03917e7ac1de4074b2422beae09396f62025-02-03T06:48:05ZengWileyGastroenterology Research and Practice1687-61211687-630X2012-01-01201210.1155/2012/381017381017Laparoscopic Surgery for Recurrent Crohn's DiseaseAntonino Spinelli0Matteo Sacchi1Piero Bazzi2Nicoletta Leone3Silvio Danese4Marco Montorsi5Dipartimento e Cattedra di Chirurgia Generale, Istituto Clinico Humanitas IRCCS, Università degli Studi di Milano, Rozzano, Milano, ItalyDipartimento e Cattedra di Chirurgia Generale, Istituto Clinico Humanitas IRCCS, Università degli Studi di Milano, Rozzano, Milano, ItalyDipartimento e Cattedra di Chirurgia Generale, Istituto Clinico Humanitas IRCCS, Università degli Studi di Milano, Rozzano, Milano, ItalyDipartimento e Cattedra di Chirurgia Generale, Istituto Clinico Humanitas IRCCS, Università degli Studi di Milano, Rozzano, Milano, ItalyIBD Unit, Dipartimento di Gastroenterologia, Istituto Clinico Humanitas IRCCS, Rozzano, Milano, ItalyDipartimento e Cattedra di Chirurgia Generale, Istituto Clinico Humanitas IRCCS, Università degli Studi di Milano, Rozzano, Milano, ItalyIn spite of the recent improvements in drug therapy, surgery still represents the most frequent treatment for Crohn's disease (CD) complications. Laparoscopy has been widely applied over the last twenty years in colorectal surgery and was associated with lower postoperative pain, shorter hospitalization, faster return to daily activities, and better cosmetic results. Laparoscopy experienced a slower diffusion in inflammatory bowel disease surgery than in oncologic colorectal surgery, but proved to be safe and effective, and is currently considered the gold standard for the treatment of primary uncomplicated ileocolic CD. Indications for laparoscopy in CD have recently been widened to embrace more complicated or recurrent CD. This paper reviews the available data on the subset of recurrent CD patients. The reported results indicate that laparoscopy may be safely applied even in selected recurrent CD cases in hands of IBD surgeons with broad laparoscopic experience.http://dx.doi.org/10.1155/2012/381017
spellingShingle Antonino Spinelli
Matteo Sacchi
Piero Bazzi
Nicoletta Leone
Silvio Danese
Marco Montorsi
Laparoscopic Surgery for Recurrent Crohn's Disease
Gastroenterology Research and Practice
title Laparoscopic Surgery for Recurrent Crohn's Disease
title_full Laparoscopic Surgery for Recurrent Crohn's Disease
title_fullStr Laparoscopic Surgery for Recurrent Crohn's Disease
title_full_unstemmed Laparoscopic Surgery for Recurrent Crohn's Disease
title_short Laparoscopic Surgery for Recurrent Crohn's Disease
title_sort laparoscopic surgery for recurrent crohn s disease
url http://dx.doi.org/10.1155/2012/381017
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AT nicolettaleone laparoscopicsurgeryforrecurrentcrohnsdisease
AT silviodanese laparoscopicsurgeryforrecurrentcrohnsdisease
AT marcomontorsi laparoscopicsurgeryforrecurrentcrohnsdisease