克罗恩病术后患者的内镜评估与处理

Endoscopic Evaluation and Management of the Postoperative Crohn's Disease Patient.

作者信息

Hashash Jana G, Binion David G

机构信息

Division of Gastroenterology, Hepatology and Nutrition, UPMC-Presbyterian Hospital, University of Pittsburgh School of Medicine, 200 Lothrop Street, Mezzanine Level C Wing PUH, Pittsburgh, PA 15213, USA.

Division of Gastroenterology, Hepatology and Nutrition, Clinical and Translational Science, UPMC-Presbyterian Hospital, University of Pittsburgh School of Medicine, 200 Lothrop Street, Mezzanine Level C Wing PUH, Pittsburgh, PA 15213, USA.

出版信息

Gastrointest Endosc Clin N Am. 2016 Oct;26(4):679-92. doi: 10.1016/j.giec.2016.06.003.

DOI:10.1016/j.giec.2016.06.003

PMID:27633596

Abstract

Approximately 70% of patients with Crohn's disease (CD) undergo surgical resection for the treatment of medically refractory disease or its complications. The sickest cohort of CD patients experience rapid postoperative relapse at the anastomotic site. Over the past 2 decades, the types of surgical anastomoses used in CD reconstruction have changed; end-to-side and end-to-end anastomoses have been surpassed by the more rapidly created side-to-side anastomoses. This article provides a review of the timing and purpose of endoscopic evaluation in postoperative CD patients and pragmatic information regarding interpretation of endoscopic findings at the different types of surgical anastomoses after ileocecal resection.

摘要

约70%的克罗恩病（CD）患者因药物难治性疾病或其并发症而接受手术切除治疗。病情最严重的CD患者在吻合口部位术后迅速复发。在过去20年里，CD重建中使用的手术吻合方式发生了变化；端侧和端端吻合已被更快完成的侧侧吻合所取代。本文综述了CD术后患者内镜评估的时机和目的，以及回盲部切除术后不同类型手术吻合口内镜检查结果解读的实用信息。