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Techniques in Coloproctology

, Volume 19, Issue 4, pp 253–254 | Cite as

Robotic-assisted strictureplasty for Crohn’s disease

  • S. Tou
  • E. Pavesi
  • A. Nasser
  • P. Mazirka
  • R. BergamaschiEmail author
Trick of the Trade

A 22-year-old gentleman with a 7-year history of Crohn’s disease was conservatively managed by his physician. Subsequently, he developed abdominal discomfort and colonoscopy was performed. At colonoscopy, a stricture was identified at the ileocecal junction (ICJ) and the scope could not advance further. Stricture was serially dilated with a through-the-scope (TTS) balloon to allow successful terminal ileal intubation. A short segment of stricture was identified at the terminal ileum just proximal to the ICJ, and the more proximal portion of the ileum was normal. A biopsy was obtained which subsequently showed chronic inflammation and granulation tissue only. However, the patient’s symptoms did not improve despite dilatation and a surgical opinion was sought. Computed tomography (CT) enteroclysis was performed which ruled out other skip lesions and confirmed the colonoscopic findings of the short segment of stricture just proximal to the ICJ. Having obtained informed consent, minimally...

Keywords

Intracorporeal Suture Intracorporeal Anastomosis Ileocecal Resection Extracorporeal Anastomosis Compute Tomography Enteroclysis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Conflict of interest

None.

Supplementary material

Supplementary material 1 (MPG 70632 kb)

References

  1. 1.
    Naidu MN, Trang AC, Salky BA (2007) Laparoscopic in Crohn’s disease. Clin Colon Rectal Surg 20:329–335CrossRefPubMedCentralPubMedGoogle Scholar
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    Yamamoto T, Fazio VW, Tekkis PP (2007) Safety and efficacy of strictureplasty for Crohn’s disease: a systematic review and meta-analysis. Dis Colon Rectum 50:1968–1986CrossRefPubMedGoogle Scholar
  3. 3.
    Sonoda T, Lee S, Whelan RL et al (2007) Robotically assisted small intestinal strictureplasty in dogs: a survival study involving 16 Heineke–Mikulicz strictureplasties. Surg Endosc 21:2220–2223CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Italia Srl 2015

Authors and Affiliations

  • S. Tou
    • 1
  • E. Pavesi
    • 1
  • A. Nasser
    • 1
  • P. Mazirka
    • 1
  • R. Bergamaschi
    • 1
    Email author
  1. 1.Division of Colorectal SurgeryState University of New York, Stony BrookStony BrookUSA

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