The mesentery in Crohnʼs disease: friend or foe?

PURPOSE OF REVIEWThis article assesses the role of the mesentery in Crohnʼs disease. RECENT FINDINGSThe mesentery is centrally positioned both anatomically and physiologically. Overlapping mesenteric and submucosal mesenchymal contributions are important in the pathobiology of Crohnʼs disease. Mesen...

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Veröffentlicht in:Current opinion in gastroenterology 2016-07, Vol.32 (4), p.267-273
Hauptverfasser: Coffey, John Calvin, O‘Leary, Donal Peter, Kiernan, Miranda G, Faul, Peter
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container_title Current opinion in gastroenterology
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creator Coffey, John Calvin
O‘Leary, Donal Peter
Kiernan, Miranda G
Faul, Peter
description PURPOSE OF REVIEWThis article assesses the role of the mesentery in Crohnʼs disease. RECENT FINDINGSThe mesentery is centrally positioned both anatomically and physiologically. Overlapping mesenteric and submucosal mesenchymal contributions are important in the pathobiology of Crohnʼs disease. Mesenteric contributions explain the topographic distribution of Crohnʼs disease in general and mucosal disease in particular. Operative strategies that are mesenteric based (i.e. mesocolic excision) may reduce rates of postoperative recurrence. SUMMARYThe net effect of mesenteric events in Crohnʼs disease is pathologic. This can be targeted by operative means. VIDEO ABSTRACThttp://links.lww.com/COG/A18.
doi_str_mv 10.1097/MOG.0000000000000280
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subjects Colonoscopy - methods
Crohn Disease - pathology
Crohn Disease - surgery
Humans
Mesentery - pathology
Mesentery - surgery
Postoperative Complications - prevention & control
Recurrence
Risk Factors
Secondary Prevention
title The mesentery in Crohnʼs disease: friend or foe?
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