title: Laparoscopic-assisted partial ileectomy for crohn's disease associated with chronic anemia due to frequent hemorrhage.
abstract: Crohn's disease can involve any part of the gastrointestinal tract. Although good conservative treatment is given as soon as possible, most patients with this disease will eventually require surgery. We encountered a case of Crohn's disease associated with anemia which we treated with laparoscopic-assisted ileectomy. The postoperative course was satisfactory. The most important characteristic of Crohn's disease, fat wrapping and extending over the serosal surface toward the antimesenteric border, was observed in the ileum, distinguishing the disease and pinpointing the lesion accurately. This surgical method has an advantage over open surgery in that the recovery time is shorter and incisions are smaller, allowing easier surgery in the future, shortening the patient's hospital stay, and improving the patient's quality of life.
authors.affiliation: Department of General Surgical Science (Surgery I), Gunma University, Graduate School of Medicine, Maebashi, Japan. ihirayam@showa.gunma-u.ac.jp
authors.forename: Isao
authors.initials: I
authors.lastname: Hirayama
authors.forename: Munenori
authors.initials: M
authors.lastname: Ide
authors.forename: Hisanori
authors.initials: H
authors.lastname: Shoji
authors.forename: Jun-Ichi
authors.initials: J
authors.lastname: Nakamura
authors.forename: Kin-Ichi
authors.initials: K
authors.lastname: Fujita
authors.forename: Haruhisa
authors.initials: H
authors.lastname: Iizuka
authors.forename: Koichi
authors.initials: K
authors.lastname: Oshimoto
authors.forename: Takeshi
authors.initials: T
authors.lastname: Hisada
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Sato
authors.forename: Masatomo
authors.initials: M
authors.lastname: Mori
authors.forename: Takayuki
authors.initials: T
authors.lastname: Asao
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Kuwano
mesh_terms: D000328:Adult; D000740:Anemia / Q000097:blood / Q000473:pathology / Q000601:surgery*; D002908:Chronic Disease; D003108:Colonic Diseases / Q000097:blood / Q000473:pathology / Q000601:surgery; D003113:Colonoscopy; D003424:Crohn Disease / Q000097:blood / Q000473:pathology / Q000601:surgery*; D003937:Diagnosis, Differential; D006471:Gastrointestinal Hemorrhage / Q000097:blood / Q000473:pathology / Q000601:surgery*; D006101:Granuloma, Giant Cell / Q000097:blood / Q000473:pathology / Q000601:surgery; D006801:Humans; D007082:Ileum / Q000473:pathology / Q000601:surgery*; D007415:Intestinal Obstruction / Q000097:blood / Q000473:pathology / Q000601:surgery; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D011788:Quality of Life; D012307:Risk Factors