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Resection Leads to Less Recurrence Than Strictureplasty in a Paediatric Population with Obstructive Crohn’s Disease
Joint Authors
Bamford, Richard
Hay, Ashley
Kumar, Devinder
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-03-06
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Introduction.
Resection and strictureplasty are used to treat patients with obstructive Crohn’s disease.
Strictureplasty is preferable in adults as it retains bowel length.
This study aims to identify differences in outcomes of children undergoing strictureplasty and resection for obstructive Crohn’s disease.
Method.
Patients under 20 years undergoing surgery over a nine-year period were included.
Data was collected on procedures for stenotic Crohn’s disease.
Patients were divided into 2 groups: Group 1 treated with strictureplasties and Group 2 resections.
Postoperative complications and recurrence rates were recorded.
Kaplan-Meier method was used to analyze the data.
Results.
Twenty-six patients and 40 operations were identified.
Mean age was 15.6 years (7.2–19.4) with equal numbers of males and females.
Mean follow-up was 45.9 months (0.1–149.9).
20/40 procedures involved the terminal ileum; 9/40, the ileocolic junction; 8/40, the upper GI tract; and 3/40, the colon.
Group 1 consisted of 19 strictureplasties and Group 2 consisted of 13 resections and 8 combined procedures.
Significantly more patients in Group 1 required further surgery (11/19 versus 3/21; P=0.008).
Conclusion.
Allowing for variations in disease duration, severity, and previous medical management, these data suggest that resection is preferable to strictureplasty in treating obstructive Crohn’s disease in children and adolescents.
American Psychological Association (APA)
Bamford, Richard& Hay, Ashley& Kumar, Devinder. 2014. Resection Leads to Less Recurrence Than Strictureplasty in a Paediatric Population with Obstructive Crohn’s Disease. Surgery Research and Practice،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-1047658
Modern Language Association (MLA)
Bamford, Richard…[et al.]. Resection Leads to Less Recurrence Than Strictureplasty in a Paediatric Population with Obstructive Crohn’s Disease. Surgery Research and Practice No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-1047658
American Medical Association (AMA)
Bamford, Richard& Hay, Ashley& Kumar, Devinder. Resection Leads to Less Recurrence Than Strictureplasty in a Paediatric Population with Obstructive Crohn’s Disease. Surgery Research and Practice. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-1047658
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1047658