Simultaneous laparoscopic pyloroplasty and ileocecal resection in Crohn's disease.
BACKGROUND
The initial manifestation of Crohn's disease is often located within the terminal ileum. Other portions of the G.I. tract may be affected, however, as the disease involves the entire organ system. The disease often progresses chronically in flares and remissions and involves all layers of the intestinal wall, leading to strictures, stenosis and fistulas. These complications should only be treated surgically when clinically relevant in order to prevent acute exacerbations.


METHODS
Laparoscopic surgery offers one the possibility to minimize surgical trauma with its very small incisions and proper dissection through the correct anatomical layers with 10-fold optic magnification.


RESULTS
Multifocal procedures can be carried out in the same operation. We present the case of a 26-year-old female with terminal ileum stenosis and gastric outlet obstruction, who underwent simultaneous laparoscopic pyloroplasty and ileocecal resection.


CONCLUSIONS
Providing the surgeon possesses the necessary expertise, complex laparoscopic simultaneous procedures.
Department of Surgery, University of Schleswig Holstein, Campus Lübeck, Germany.
E
E
Schlöricke
M
M
Hoffmann
M
M
Zimmermann
K F
KF
Meyer
T
T
Laubert
M
M
Kleemann
H P
HP
Bruch
P
P
Hildebrand
D000328:Adult; D002432:Cecum / Q000601:surgery*; D003424:Crohn Disease / Q000150:complications / Q000601:surgery*; D005260:Female; D017219:Gastric Outlet Obstruction / Q000150:complications / Q000601:surgery*; D006801:Humans; D007082:Ileum / Q000601:surgery*; D010535:Laparoscopy; D011708:Pylorus / Q000601:surgery*