Surgical treatment of ileocaecal Leśniowski-Crohn\'s disease diagnosed during appendectomy
Journal Title: Gastroenterology Review - Year 2006, Vol 1, Issue 2
Abstract
Treatment of the Leśniowski-Crohn’s disease is still a big challenge for many specialist doctors including surgeons. In this paper surgical treatment of the patients with Leśniowski--Crohn’s disease, localized in ileocaecal region with the first symptom as acute pain in the right hypogastrium suggesting appendicitis was discussed. Leśniowski-Crohn’s disease limited to the appendix is a rare form of this disease diagnosed only in a few percent of all patients. The diagnosis is established usually based on histopathological examination of the resected appendix. Patients, who suffer from this kind of the Leśniowski-Crohn’s disease have good prognosis. Appendectomy performed as the first stage should be considered as the only necessary method of treatment. Much more common problem is appendicitis accompanied by typical inflammation localized in the ileocaecal region. It is known that a few percent of patients with Leśniowski-Crohn’s disease is diagnosed during operation performed because of the symptoms suggesting appendicitis. In such cases, ileocaecal resection should be considered as correct therapeutic management. According to bowel sparing surgery methods resection should be performed without any margin of healthy bowel. The method of anastomosis, which is important from a surgical point of view seems not to be of great importance.
Authors and Affiliations
Gustaw Lech, Robert Słotwiński, Ireneusz Krasnodębski
Keywords
Related Articles
- EP ID EP83656
- DOI -
- Views 251
- Downloads 0
Infekcyjne zapalenia jelit a choroba Leśniowskiego-Crohna – problemy diagnostyczne i terapeutyczne
Podobieństwo w obrazie klinicznym choroby Leśniowskiego-Crohna oraz infekcyjnych zapalnych chorób jelit, zwłaszcza jersiniozy, może być przyczyną trudności diagnostycznych, a w konsekwencji nieskuteczności stosowanego le...
Enteroskopia dwubalonowa – nowa technika diagnostyki i terapii endoskopowej chorób jelita cienkiego
Choroby jelita cienkiego są często trudne do diagnostyki, a enteroskopia śródoperacyjna była dotychczas jedyną metodą terapii endoskopowej w zakresie całego jelita cienkiego. Wprowadzona w ostatnich latach enteroskopia d...
Microscopic colitis - a problem to remember
Microscopic colitis encompassing collagenous colitis, lymphocytic colitis and non-specific microscopic colitis, is a common cause of chronic watery diarrhoea in middle-aged and elderly people, especially women. Its eti...
The diagnosis and medical management of gastroenteropancreatic neuroendocrine tumors (GEP NET)
Gastroenteropancreatic neuroendocrine tumors (GEP NET) constitute a heterogeneous group of neoplasms that are often associated with typical symptoms due to excessive and uncontrolled production of hormones and bioactive...
Endometriosis under the guise of Leśniowski-Crohn\'s disease? Case report
Endometriosis is defined as the presence of endometrial glands and stroma outside the endometrial cavity and uterine musculature. This ectopic endometrial implants are usually located in the pelvis, but can occur nearly...