Intraoperative enteroscopy detects more lesions but is not predictive of postoperative recurrence in Crohn’s disease
- 1 May 2001
- journal article
- research article
- Published by Springer Science and Business Media LLC in Surgical Endoscopy
- Vol. 15 (5), 455-459
- https://doi.org/10.1007/s004640000174
Abstract
The aim of this investigation was to elucidate the clinical value of intraoperative enteroscopy (IOE) for Crohn's disease, and to determine the value of IOE in predicting recurrent disease. In this study 27 patients requiring surgery were examined by both preoperative radiography and IOE. The findings obtained by these procedures in the remnant small intestine were compared. In 19 patients, the clinical course and colonoscopic or radiographic findings after surgery were analyzed. Intestinal lesions were identified in 23 patients by IOE, and in 19 patients by radiography. Longitudinal ulcers were equivalently detected by IOE (63%) and radiography (56%), whereas small ulcers and inflammatory polyps were less frequently detected by radiography than by IOE (37% vs 74% and 19% vs 33%, respectively). Neither the presence nor the distribution of IOE findings was related to postoperative recurrence. Whereas IOE demonstrates small intestinal lesions in detail, the procedure alone cannot predict postoperative recurrence in Crohn's disease.Keywords
This publication has 20 references indexed in Scilit:
- Prognostic factors for postoperative recurrence of Crohn's diseaseDiseases of the Colon & Rectum, 1996
- Long-Term Follow-up in Crohn's Disease: Mortality, Morbidity, and Functional StatusScandinavian Journal of Gastroenterology, 1994
- Endoscopy of the Small Bowel: Push, Sonde and Intra-OperativeEndoscopy, 1994
- Intraoperative enteroscopy in Crohn's diseaseBritish Journal of Surgery, 1993
- Small bowel obstruction in a patient with Peutz-Jeghers syndrome: the role of intraoperative endoscopyGastrointestinal Endoscopy, 1992
- Perforating and non-perforating indications for repeated operations in Crohn's disease: evidence for two clinical forms.Gut, 1988
- Factors affecting recurrence following resection for Crohn's diseaseDiseases of the Colon & Rectum, 1986
- Natural history of recurrent Crohn's disease at the ileocolonic anastomosis after curative surgery.Gut, 1984
- Surgical Management of Crohnʼs DiseaseAnnals of Surgery, 1980
- Diagnostic Value of Intraoperative Fiberscopy for Small-intestinal Polyps in Familial Adenomatosis ColiEndoscopy, 1980