Laparoscopically assisted ileocecal resection for Crohn's disease associated with intestinal stenosis and ileovesical fistula.
We describe a 22-year-old man with Crohn's ileocolitis accompanied by intestinal stenosis and ileovesical fistula in whom laparoscopically-assisted surgery was successfully performed after thorough nutritional therapy. Laparoscopic procedures are characterized by minimal access and minimal invasion, features which can contribute to the early recovery of patients who undergo surgery. It is suggested that laparoscopic (or laparoscopically-assisted) surgery after strict nutritional therapy can be effective in the treatment of patients with Crohn's disease who have intestinal complications.
Serizawa
H
H
Department of Internal Medicine, Kitasato Institute Hospital, Tokyo, Japan.
Hibi
T
T
Ohishi
T
T
Watanabe
N
N
Hamada
Y
Y
Watanabe
M
M
Ohgami
M
M
Sugino
Y
Y
Kuramochi
S
S
Ishii
H
H
D000328:Adult; D002432:Cecum / Q000601:surgery; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D003424:Crohn Disease / Q000150:complications / Q000601:surgery* / Q000628:therapy; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D007082:Ileum / Q000601:surgery; D007412:Intestinal Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D010289:Parenteral Nutrition, Total; D011859:Radiography; D001747:Urinary Bladder Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*