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A Cortot

Publications and source records attributed to A Cortot.

206 records · Page 12Linked to original sources
PubMedDate not supplied

Long-term follow-up of strictureplasty in Crohn's disease.

Strictureplasty is an alternative to extensive and/or multiple small bowel resections in the surgical treatment of Crohn's disease. We here report a series of 22 patients (12 M-10 F-mean age years 28). All patients had non perforative form of Crohn's disease lasting for a mean of 8 years. Nine out of 22 had previous intestinal resections. A total of 201 stenosis was identified during per-operative examination (mean per patient: 9). Only tight stenoses (diameter < 2 cm) were treated while others were left untouched. Eighty-three stenoses were treated by short strictureplasty and 24 by long strictureplasty using steel thread. One or several resections were simultaneous performed in 15 patients. Mortality was nil. A post operative abscess without loosened suture was drained. The mean follow-up in the 22 patients was 36 months (range: 12 to 96). Relief of obstructive symptoms was achieved in all patients. Symptomatic recurrence occurred in 9 patients (40%) and 5 (22%) needed reoperation. In one case haemorrhagic ulceration developed within a long strictureplasty and in 4 others stenosis developed in plasty areas but also in previous healthy areas. Thus stricture-plasty is intended not to replace resection but rather to serve as a useful adjunct to the existing surgical options in the treatment of Crohn's disease, especially when short bowel syndrome is a consideration.

Adolescent↗
PubMedDate not supplied

[Indications of surgical treatment of Crohn disease].

Indications for surgery in Crohn's disease were studied in 100 consecutive cases. Cases included emergency situations (n = 22) complicated forms (n = 55) and chronic forms (n = 23). Lesions were located in the small bowel alone (n = 43), small and large bowel (n = 16) and in the colon and rectum (n = 16). During the same period, 26 reoperations were performed, there was no operative mortality and no short bowels were observed. A stomy was required in 30 cases and could be removed in 19. For lesions involving the small bowel, resections were limited to symptomatic lesions; long and short plasties were performed with no complications. For the colon, total and segmentary colectomy was performed for 18 cases and ileorectal anastomoses in 13. Five proctectomies were required. Rectal exclusion was considered as a wait and see solution which was long in several cases with severe rectoperineal lesions. In these cases, secondary proctectomy should be widely proposed. For emergency situations, it would be prudent to use a safe operative technique with wide indication for stomies. For complicated forms, careful preparation allows for complete procedure with one operation. For chronic forms resistant to medical treatment, the decision can be rather difficult, but the fact that recurrences do exist should not mask the long-term remissions obtained in half the cases with surgery.

Chronic Disease↗