Role of Intraoperative Enteroscopy for Surgical Decision Making with Crohn's Disease

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2007 Feb 8

PMID 17285372

Citations 1

Authors

M Hotokezaka

S-I Jimi

H Hidaka

N Maehara

T-A Eto

K Chijiiwa

Affiliations

Soon will be listed here.

Abstract

Background: This study aimed to assess the role of intraoperative enteroscopy (IOE) in determining surgical treatment.

Methods: The IOE procedure was performed for 30 patients with Crohn's disease. The degree of stricture and the presence of active ulcer were examined. Preoperative diagnoses and intraoperative findings obtained by inspection and palpation were noted and compared with the IOE findings.

Results: Of the 78 intestinal strictures observed by IOE (42%), 33 were not found by preoperative examination. Of the 45 strictures confirmed by IOE to be severe (<15 mm in diameter), 8 were judged to be mild (15-25 mm in diameter) or were not even identified by intraoperative inspection and palpation. Active ulcer was found at 12 of 33 mild strictures, and all 12 strictures were surgically corrected. Of 11 severe strictures detected by IOE at previous surgical sites, 9 were found preoperatively, and 4 were judged to be mild on the basis of inspection and palpation. Stricture was found at the ileocecal valve by IOE in seven patients, but was not diagnosed preoperatively in two of these patients.

Conclusion: Intraoperative enteroscopy provides useful information regarding the status of the lumen in patients with Crohn's disease.

Citing Articles

Difference in recurrence patterns between anastomosis and strictureplasty after surgical treatment for crohn disease.

Hayakawa S, Hotokezaka M, Ikeda T, Uchiyama S, Chijiiwa K Int Surg. 2012; 97(2):120-8.

PMID: 23102077 PMC: 3723208. DOI: 10.9738/CC95.1.

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