Is There a Role for Ileal Pouch Anal Anastomosis in Crohn's Disease?

Is There a Role for Ileal Pouch Anal Anastomosis in Crohn's Disease?

Abstract Traditionally, surgical interventions for colonic Crohn's disease (CD) have been limited to total abdominal colectomy and ileorectal anastomosis, or total proctocolectomy with end ileostomy if there is rectal involvement. However, improved understandings of the biology of CD, as well a...

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Veröffentlicht in:Clinics in colon and rectal surgery 2019-07, Vol.32 (4), p.280-290
Hauptverfasser: Lopez, Nicole E., Zaghyian, Karen, Fleshner, Phillip
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container_title Clinics in colon and rectal surgery
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creator Lopez, Nicole E.
Zaghyian, Karen
Fleshner, Phillip
description Abstract Traditionally, surgical interventions for colonic Crohn's disease (CD) have been limited to total abdominal colectomy and ileorectal anastomosis, or total proctocolectomy with end ileostomy if there is rectal involvement. However, improved understandings of the biology of CD, as well as the development of biologic therapies, have enabled more limited resections. Here, we review the indications for, and limitations of, specific procedures aiming to preserve intestinal continuity in colonic CD.
doi_str_mv 10.1055/s-0039-1683917
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Review Article
title Is There a Role for Ileal Pouch Anal Anastomosis in Crohn's Disease?
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