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吻合技术会影响回结肠切除术后克罗恩病的复发率吗?

Does anastomotic technique affects the recurrence rate of Crohn's disease after ileocolic resection?

作者信息

Ibrahim Rashid, Abounozha Sabry, Kheder Adel, Alawad Awad

机构信息

University Hospitals Plymouth NHS Trust, Plymouth, UK.

Northumbria Healthcare NHS Foundation Trust, Northumbria, UK.

出版信息

Ann Med Surg (Lond). 2021 Jan 19;62:164-167. doi: 10.1016/j.amsu.2021.01.027. eCollection 2021 Feb.

DOI:10.1016/j.amsu.2021.01.027
PMID:33520216
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7820792/
Abstract

A best evidence topic has been constructed using a described protocol. The three-part question addressed was: does the anastomotic technique after ileocolic resection affects the recurrence rate in patients with Crohn's disease? Using OVID interface and PubMed interface, 16 articles were found; out of this 6 studies were deemed to be suitable to answer the question. The outcomes assessed were anastomotic recurrence rate. The best evidence showed that Kono-S ileocolic anastomotic technique is associated with significantly low recurrence rate in patient with Crohn's disease.

摘要

一个最佳证据主题是使用既定方案构建的。所提出的三部分问题是:回结肠切除术后的吻合技术是否会影响克罗恩病患者的复发率?通过OVID界面和PubMed界面,共找到16篇文章;其中6项研究被认为适合回答该问题。评估的结果是吻合口复发率。最佳证据表明,Kono-S回结肠吻合技术与克罗恩病患者显著较低的复发率相关。

相似文献

1
Does anastomotic technique affects the recurrence rate of Crohn's disease after ileocolic resection?吻合技术会影响回结肠切除术后克罗恩病的复发率吗?
Ann Med Surg (Lond). 2021 Jan 19;62:164-167. doi: 10.1016/j.amsu.2021.01.027. eCollection 2021 Feb.
2
[The Kono-S anastomosis in surgery for Crohn's disease : First results of a new functional end-to-end anastomotic technique after intestinal resection in patients with Crohn's disease in Germany].[克罗恩病手术中的科诺-斯吻合术:德国克罗恩病患者肠道切除术后一种新型功能性端端吻合技术的初步结果]
Chirurg. 2019 Feb;90(2):131-136. doi: 10.1007/s00104-018-0668-4.
3
Best evidence topic: Is ileocolic anastomotic leak rate higher in handsewn or stapler's anastomosis?最佳证据主题:手工缝合或吻合器吻合的回结肠吻合口漏发生率更高吗?
Ann Med Surg (Lond). 2020 Nov 28;60:619-622. doi: 10.1016/j.amsu.2020.11.075. eCollection 2020 Dec.
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Totally stapled Kono-S anastomosis for Crohn's disease.全层吻合式侧侧端端吻合法克罗恩病吻合术。
Tech Coloproctol. 2022 Mar;26(3):213-216. doi: 10.1007/s10151-021-02551-3. Epub 2022 Jan 27.
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The role of Kono-S anastomosis and mesenteric resection in reducing recurrence after surgery for Crohn's disease: a systematic review.小野-斯氏吻合术和肠系膜切除术在降低克罗恩病术后复发率中的作用:一项系统评价
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[Role of anastomotic configuration in ileocolic resection for Crohn's disease].[吻合口形态在克罗恩病回结肠切除术中的作用]
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Does Smoking Cessation Reduce Surgical Recurrence After Primary Ileocolic Resection for Crohn's Disease?戒烟是否会降低克罗恩病初次回肠结肠切除术后的手术复发率?
Dis Colon Rectum. 2020 Feb;63(2):200-206. doi: 10.1097/DCR.0000000000001547.

引用本文的文献

1
Impact of different anastomosis methods on post-recurrence after intestinal resection for Crohn's disease: A meta-analysis.不同吻合方法对克罗恩病肠切除术后复发的影响:一项荟萃分析。
World J Gastrointest Surg. 2024 Apr 27;16(4):1165-1175. doi: 10.4240/wjgs.v16.i4.1165.
2
Use of the Kono-S anastomosis in pediatric Crohn's disease: a single-institution experience.在儿科克罗恩病中使用 Kono-S 吻合术:单机构经验。
Pediatr Surg Int. 2023 Nov 10;39(1):290. doi: 10.1007/s00383-023-05572-1.
3
An Analysis of the Literature and a Case Study on the Successful Surgical Treatment of a Crohn's Patient Using a Kono-S Anastomosis.关于使用Kono-S吻合术成功手术治疗一名克罗恩病患者的文献分析及病例研究
Euroasian J Hepatogastroenterol. 2023 Jan-Jun;13(1):36-39. doi: 10.5005/jp-journals-10018-1392.

本文引用的文献

1
Risk factors for anastomotic recurrence after primary ileocaecal resection in Crohn's disease.克罗恩病初次回盲部切除术后吻合口复发的危险因素。
Eur J Gastroenterol Hepatol. 2018 Oct;30(10):1143-1147. doi: 10.1097/MEG.0000000000001206.
2
Kono-S Anastomosis for Surgical Prophylaxis of Anastomotic Recurrence in Crohn's Disease: an International Multicenter Study.用于克罗恩病吻合口复发手术预防的小野-S吻合术:一项国际多中心研究
J Gastrointest Surg. 2016 Apr;20(4):783-90. doi: 10.1007/s11605-015-3061-3. Epub 2015 Dec 22.
3
Towards evidence-based medicine in surgical practice: best BETs.迈向外科实践中的循证医学:最佳最佳证据。
Int J Surg. 2011;9(8):585-8. doi: 10.1016/j.ijsu.2011.08.001. Epub 2011 Aug 9.
4
A new antimesenteric functional end-to-end handsewn anastomosis: surgical prevention of anastomotic recurrence in Crohn's disease.一种新的抗肠系膜功能性端端手工吻合术:克罗恩病吻合口复发的手术预防。
Dis Colon Rectum. 2011 May;54(5):586-92. doi: 10.1007/DCR.0b013e318208b90f.
5
Recurrence of Crohn's disease after ileocolic resection is not affected by anastomotic type: results of a multicenter, randomized, controlled trial.回结肠切除术后克罗恩病的复发不受吻合方式的影响:一项多中心、随机、对照试验的结果
Dis Colon Rectum. 2009 May;52(5):919-27. doi: 10.1007/DCR.0b013e3181a4fa58.
6
Wide-lumen stapled anastomosis vs. conventional end-to-end anastomosis in the treatment of Crohn's disease.宽腔吻合器吻合术与传统端端吻合术治疗克罗恩病的比较
Dis Colon Rectum. 2001 Jan;44(1):20-5; discussion 25-6. doi: 10.1007/BF02234814.
7
Stapled functional end-to-end anastomosis versus sutured end-to-end anastomosis after ileocolonic resection in Crohn disease.克罗恩病回结肠切除术后吻合器功能性端端吻合与缝合端端吻合的比较
Scand J Gastroenterol. 1999 Jul;34(7):708-13. doi: 10.1080/003655299750025921.
8
A comparison of stapled and hand-sewn anastomoses in Crohn's disease.克罗恩病中吻合器吻合与手工缝合吻合的比较。
Dig Surg. 1998;15(6):679-82. doi: 10.1159/000018677.