STRICTUREPLASTY AS AN ORGAN-SAVING METHOD IN PATIENTS WITH SMALL BOWEL CROHN'S DISEASE (case report)
https://doi.org/10.33878/2073-7556-2019-18-3-77-83
Abstract
Crohn's disease (CD) is a complex, chronic recurrent disease with transmural, segmental, granulomatous inflammation in all parts of the gastrointestinal tract with high risk of local and systemic complications. The disease is progressive, despite a wide range of modern conservative and surgical approaches. One of the most common causes of surgery for CD is strictures, which are result of prolonged, non-specific inflammation and later cicatricial changes in the intestinal wall. The occurrence of strictures is a serious clinical problem, due to the lack of effective methods of diagnosis and treatment. In fact, there are two type of surgery – resection of the affected area and organ-saving procedure. At the same time, when performing extensive resections of the small bowel, the patient loses a large area of absorption surface, which often leads to the short bowel syndrome. Recently, the majority of foreign experts prefer organ-saving procedure – strictureplasty. In this paper, we present a case of successful application of this procedure for complicated form of Crohn's disease.
About the Authors
A. V. Vardanyan
State Scientific Centre of Coloproctology of the Ministry of Healthcare of Russia
Russian Federation
Russian Federation
M. Kh. Toboeva
State Scientific Centre of Coloproctology of the Ministry of Healthcare of Russia
Russian Federation
Russian Federation
I. V. Zarodnyuk
State Scientific Centre of Coloproctology of the Ministry of Healthcare of Russia
Russian Federation
Russian Federation
L. P. Orlova
State Scientific Centre of Coloproctology of the Ministry of Healthcare of Russia
Russian Federation
Russian Federation
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For citations:
Vardanyan A.V., Toboeva M.Kh., Zarodnyuk I.V., Orlova L.P. STRICTUREPLASTY AS AN ORGAN-SAVING METHOD IN PATIENTS WITH SMALL BOWEL CROHN'S DISEASE (case report). Koloproktologia. 2019;18(3(69)):77-83. (In Russ.) https://doi.org/10.33878/2073-7556-2019-18-3-77-83
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