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World J Gastroenterol. Jan 7, 2014; 20(1): 78-90
Published online Jan 7, 2014. doi: 10.3748/wjg.v20.i1.78
Published online Jan 7, 2014. doi: 10.3748/wjg.v20.i1.78
Surgery for luminal Crohn’s disease
Takayuki Yamamoto, Inflammatory Bowel Disease Center and Department of Surgery, Yokkaichi Social Insurance Hospital, Mie 510-0016, Japan
Toshiaki Watanabe, Department of Surgical Oncology, The University of Tokyo, Hongo, Tokyo 113-0033, Japan
Author contributions: Yamamoto T and Watanabe T contributed equally to this paper.
Correspondence to: Takayuki Yamamoto, MD, PhD, FACG, Inflammatory Bowel Disease Center and Department of Surgery, Yokkaichi Social Insurance Hospital, 10-8 Hazuyamacho, Yokkaichi, Mie 510-0016, Japan. nao-taka@sannet.ne.jp
Telephone: +81-59-3312000 Fax: +81-59-3310354
Received: September 17, 2013
Revised: November 12, 2013
Accepted: December 3, 2013
Published online: January 7, 2014
Revised: November 12, 2013
Accepted: December 3, 2013
Published online: January 7, 2014
Core Tip
Core tip: Strictureplasty is now an accepted procedure in the management of jejunoileal Crohn’s disease (CD). However, the place for strictureplasty is less well defined in duodenal and colonic diseases. For patients with extensive colonic CD, the surgical choices include total colectomy with either an ileorectal anastomosis or end-ileostomy, or a total proctocolectomy with permanent end-ileostomy. Patients with CD undergoing ileal pouch-anal anastomosis are associated with poor functional outcomes and high failure rates. Laparoscopic surgery is safe and feasible. Patients who undergo laparoscopic surgery have a more rapid recovery of bowel function and a shorter hospital stay.