Stapled functional end-to-end anastomosis in Crohn's disease.
The aim of this study was to review our experience of stapled functional end-to-end anastomosis following a bowel resection for Crohn's disease. Between 1988 and 1997, 62 patients underwent 63 stapled functional end-to-end anastomoses, including 54 ileocolonic, 8 ileoileal, and 1 colocolonic. One patient developed an anastomotic leak and required a laparotomy. There were no anastomotic complications in any other patients. The median duration of follow-up was 21 (rang: 4-122) months. Only one patient developed recurrence at the stapled ileocolonic anastomosis 35 months after the operation. However, this patient required no further surgical treatment. Stapled functional end-to-end anastomosis is associated with a low incidence of complications and a low incidence of early recurrence. This technique may therefore be the anastomotic configuration of choice following a bowel resection for Crohn's disease.
Yamamoto
T
T
University Department of Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
Keighley
M R
MR
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D003106:Colon / Q000473:pathology / Q000601:surgery*; D003424:Crohn Disease / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012008:Recurrence; D012189:Retrospective Studies; D017792:Surgical Stapling; D016896:Treatment Outcome