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Quoi de neuf dans la prise en charge chirurgicale des maladies inflammatoires de l’intestin et de la diverticulite depuis la fin du dernier millénaire ?

What’s new in surgical management of inflammatory bowel disease and diverticulitis since year 2K?

  • Dossier Thématique / Thematic File
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Côlon & Rectum

Résumé

Des évolutions sont survenues entre 2000 et 2015 dans la prise en charge chirurgicale de la maladie de Crohn, de la rectocolite hémorragique et de la diverticulite sigmoïdienne. La laparoscopie est maintenant considérée comme la voie d’abord recommandée pour ces 3 pathologies, avec des avantages à court terme mais aussi pour la fertilité en cas de réalisation d’une anastomose iléo-anale dans la rectocolite hémorragique. Cette intervention n’est plus considérée par ailleurs comme une contre-indication dans la maladie de Crohn et peut se discuter dans des cas bien particuliers. Dans la diverticulite, des recommandations ont été publiées en 2006. Celles-ci restent encore d’actualité, notamment pour les indications de chirurgie prophylactique chez les patients jeunes et chez ceux ayant eu un épisode compliqué de diverticulite.

Abstract

Advances have been observed between 2000 and 2015 in the surgical management of Crohn’s disease, ulcerative colitis and diverticulitis. Laparoscopy is now considered as the recommended surgical approach for these three diseases, with short-term benefits but also with better fertility than after open surgery for ileal pouch anal anastomosis performed for ulcerative colitis. This intervention is no more considered as a definitive contradication in Crohn’s disease and can be discussed in selected cases. In diverticulitis, French guidelines were published in 2006. These still remain valid, especially for indications of prophylactic surgery in younger patients and in those who have had an episode of complicated diverticulitis.

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Références

  1. Tan JJ, Tjandra JJ. (2007) Laparoscopic surgery for Crohn’s disease: a meta-analysis. Dis Colon Rectum 50:576–85

    Article  PubMed  Google Scholar 

  2. Maggiori L, Khayat A, Treton X, et al (2014) Laparoscopic approach for inflammatory bowel disease is a real alternative to open surgery: an experience with 574 consecutive patients. Ann Surg 260:305–10

    Article  PubMed  Google Scholar 

  3. Dignass A, Van Assche G, Lindsay JO, et al (2010) The second European evidence-based Consensus on the diagnosis and management of Crohn’s disease: Current management. J Crohns Colitis 4:28–62

    Article  CAS  PubMed  Google Scholar 

  4. Lee Y, Fleming FJ, Deeb AP, et al (2012) A laparoscopic approach reduces short-term complications and length of stay following ileocolic resection in Crohn’s disease: an analysis of outcomes from the NSQIP database. Colorectal Dis 14:572–7

    Article  CAS  PubMed  Google Scholar 

  5. Maartense S, Dunker MS, Slors JF, et al (2006) Laparoscopicassisted versus open ileocolic resection for Crohn’s disease: a randomized trial. Ann Surg 243:143–149; discussion 143-150

    Article  PubMed Central  PubMed  Google Scholar 

  6. Alves A, Panis Y, Bouhnik Y, et al (2005) Factors that predict conversion in 69 consecutive patients undergoing laparoscopic ileocecal resection for Crohn’s disease: a prospective study. Dis Colon Rectum 48:2302–2308.

    Article  CAS  PubMed  Google Scholar 

  7. Eshuis EJ, Slors JF, Stokkers PC, et al (2010) Long-term outcomes following laparoscopically assisted versus open ileocolic resection for Crohn’s disease. Br J Surg 97:563–8

    Article  CAS  PubMed  Google Scholar 

  8. Duepree HJ, Senagore AJ, Delaney CP, et al (2002) Advantages of laparoscopic resection for ileocecal Crohn’s disease. Dis Colon Rectum 45:605–10

    Article  PubMed  Google Scholar 

  9. Goyer P, Alves A, Bretagnol F, et al (2009) Impact of complex Crohn’s disease on the outcome of laparoscopic ileocecal resection: a comparative clinical study in 124 patients. Dis Colon Rectum 52:205–10

    Article  PubMed  Google Scholar 

  10. Brouquet A, Bretagnol F, Soprani A, et al (2010) A laparoscopic approach to iterative ileocolonic resection for the recurrence of Crohn’s disease. Surg Endosc 24:879–87

    Article  PubMed  Google Scholar 

  11. Panis Y, Poupard B, Nemeth J, et al (1996) Ileal pouch/anal anastomosis for Crohn’s disease. Lancet 347:854–7

    Article  CAS  PubMed  Google Scholar 

  12. Melton GB, Fazio VW, Kiran RP, et al (2008) Long-term outcomes with ileal pouch-anal anastomosis and Crohn’s disease: pouch retention and implications of delayed diagnosis. Ann Surg 248:608–16

    PubMed  Google Scholar 

  13. Oresland T, Bemelman WA, Sampietro GM, et al (2015) European evidence based consensus on surgery for ulcerative colitis. J Crohns Colitis 9:4–25

    PubMed  Google Scholar 

  14. Bartels SA, Gardenbroek TJ, Ubbink DT, et al (2013) Systematic review and meta-analysis of laparoscopic versus open colectomy with end ileostomy for non-toxic colitis. Br J Surg 100:726–733.

    Article  CAS  PubMed  Google Scholar 

  15. Chung TP, Fleshman JW, Birnbaum EH, et al (2009) Laparoscopic vs. open total abdominal colectomy for severe colitis: impact on recovery and subsequent completion restorative proctectomy. Dis Colon Rectum 52:4–10

    Article  PubMed  Google Scholar 

  16. Fleming FJ, Francone TD, Kim MJ, et al (2011) A laparoscopic approach does reduce short-term complications in patients undergoing ileal pouch-anal anastomosis. Dis Colon Rectum 54:176–82

    Article  PubMed  Google Scholar 

  17. Causey MW, Stoddard D, Johnson EK, et al (2013) Laparoscopy impacts outcomes favorably following colectomy for ulcerative colitis: a critical analysis of the ACS-NSQIP database. Surg Endosc 27:603–9

    Article  PubMed  Google Scholar 

  18. Wu XJ, He XS, Zhou XY, et al (2010) The role of laparoscopic surgery for ulcerative colitis: systematic review with metaanalysis. Int J Colorectal Dis 25:949–57

    Article  PubMed  Google Scholar 

  19. Waljee A, Waljee J, Morris AM, Higgins PD. (2006) Threefold increased risk of infertility: a meta-analysis of infertility after ileal pouch anal anastomosis in ulcerative colitis. Gut 55:1575–80

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  20. Indar AA, Efron JE, Young-Fadok TM. (2009) Laparoscopic ileal pouch-anal anastomosis reduces abdominal and pelvic adhesions. Surg Endosc 23:174–7

    Article  PubMed  Google Scholar 

  21. Bartels SA, D’Hoore A, Cuesta MA, et al (2012) Significantly increased pregnancy rates after laparoscopic restorative proctocolectomy: a cross-sectional study. Ann Surg 256:1045–8

    Article  PubMed  Google Scholar 

  22. Beyer-Berjot L, Maggiori L, Birnbaum D, et al (2013) A total laparoscopic approach reduces the infertility rate after ileal pouch-anal anastomosis: a 2-center study. Ann Surg 258:275–82

    Article  PubMed  Google Scholar 

  23. Dignass A, Lindsay JO, Sturm A, et al (2012) Second European evidence-based consensus on the diagnosis and management of ulcerative colitis part 2: current management. J Crohns Colitis 6:991–1030

    Article  PubMed  Google Scholar 

  24. Lovegrove RE, Constantinides VA, Heriot AG, et al (2006) A comparison of hand-sewn versus stapled ileal pouch anal anastomosis (IPAA) following proctocolectomy: a meta-analysis of 4183 patients. Ann Surg 244:18–26

    Article  PubMed Central  PubMed  Google Scholar 

  25. Kirat HT, Remzi FH, Kiran RP, Fazio VW. (2009) Comparison of outcomes after hand-sewn versus stapled ileal pouch-anal anastomosis in 3,109 patients. Surgery 146:723–729; discussion 729–730.

    Article  PubMed  Google Scholar 

  26. Remzi FH, Fazio VW, Delaney CP, et al (2003) Dysplasia of the anal transitional zone after ileal pouch-anal anastomosis: results of prospective evaluation after a minimum of ten years. Dis Colon Rectum 46:6–13

    Article  PubMed  Google Scholar 

  27. Weston-Petrides GK, Lovegrove RE, Tilney HS, et al (2008) Comparison of outcomes after restorative proctocolectomy with or without defunctioning ileostomy. Arch Surg 143:406–12

    Article  PubMed  Google Scholar 

  28. Fazio VW, Kiran RP, Remzi FH, et al (2013) Ileal pouch anal anastomosis: analysis of outcome and quality of life in 3707 patients. Ann Surg 257:679–85

    Article  PubMed  Google Scholar 

  29. Hahnloser D, Pemberton JH, Wolff BG, et al (2004) The effect of ageing on function and quality of life in ileal pouch patients: a single cohort experience of 409 patients with chronic ulcerative colitis. Ann Surg 240:615–621; discussion 621–613

    PubMed Central  PubMed  Google Scholar 

  30. Michelassi F, Lee J, Rubin M, et al (2003) Long-term functional results after ileal pouch anal restorative proctocolectomy for ulcerative colitis: a prospective observational study. Ann Surg 238:433–441;discussion 442–435

    PubMed Central  PubMed  Google Scholar 

  31. Delaney CP, Fazio VW, Remzi FH, et al (2003) Prospective, agerelated analysis of surgical results, functional outcome, and quality of life after ileal pouch-anal anastomosis. Ann Surg 238:221–8

    PubMed Central  PubMed  Google Scholar 

  32. Derikx LA, Kievit W, Drenth JP, et al (2014) Prior colorectal neoplasia is associated with increased risk of ileoanal pouch neoplasia in patients with inflammatory bowel disease. Gastroenterology 146:119–128 e111

    Article  PubMed  Google Scholar 

  33. Zins M, Bruel JM, Pochet P, et al (2007) Question 1. What is the diagnostic value of the different tests for simple and complicated diverticulitis? What diagnostic strategy should be used?. Gastroenterol Clin Biol 31:3S15-19

    Article  Google Scholar 

  34. Bourreille A, Montravers P, Boyer J, et al (2007) [Question 2. Medical treatment of acute, non-complicated diverticulitis]. Gastroenterol Clin Biol 31:3S21-26

    Article  Google Scholar 

  35. Mabrut JY, Buc E, Zins M, et al (2007) Question 3. Therapeutic management of complicated forms of sigmoid diverticulitis (abscess, fistulas, peritonitis). Gastroenterol Clin Biol 31:3S27-33

    Article  Google Scholar 

  36. Buc E, Mabrut JY, Genier F, et al (2007) Question 4. Scheduled surgery for sigmoid diverticulitis. Gastroenterol Clin Biol 31:3S35-46

    Article  Google Scholar 

  37. Pilleul F, Buc E, Dupas JL, et al (2007) Question 5. Management of diverticulitis induced hemorrhage. Gastroenterol Clin Biol 31:3S47-52

    Article  Google Scholar 

  38. Chabok A, Pahlman L, Hjern F, et al (2012) Randomized clinical trial of antibiotics in acute uncomplicated diverticulitis. Br J Surg 99:532–9

    Article  CAS  PubMed  Google Scholar 

  39. Rogers AC, Collins D, O’Sullivan GC, Winter DC (2012) Laparoscopic lavage for perforated diverticulitis: a population analysis. Dis Colon Rectum 55:932–8

    Article  PubMed  Google Scholar 

  40. Afshar S, Kurer MA (2012) Laparoscopic peritoneal lavage for perforated sigmoid diverticulitis. Colorectal Dis 14:135–42

    Article  CAS  PubMed  Google Scholar 

  41. Anaya DA, Flum DR. (2005) Risk of emergency colectomy and colostomy in patients with diverticular disease. Arch Surg 140:681–685.

    Article  PubMed  Google Scholar 

  42. Shaikh S, Krukowski ZH. (2007) Outcome of a conservative policy for managing acute sigmoid diverticulitis. Br J Surg 94:876–9

    Article  CAS  PubMed  Google Scholar 

  43. Poletti PA, Platon A, Rutschmann O, et al (2004) Acute left colonic diverticulitis: can CT findings be used to predict recurrence? AJR Am J Roentgenol 182:1159–65

    Article  PubMed  Google Scholar 

  44. Forgione A, Leroy J, Cahill RA, et al (2009) Prospective evaluation of functional outcome after laparoscopic sigmoid colectomy. Ann Surg 249:218–24

    Article  PubMed  Google Scholar 

  45. Andeweg C, Peters J, Bleichrodt R, van Goor H. (2008) Incidence and risk factors of recurrence after surgery for pathologyproven diverticular disease. World J Surg 32:1501–6

    Article  PubMed Central  PubMed  Google Scholar 

  46. Gervaz P, Inan I, Perneger T, et al (2010) A prospective, randomized, single-blind comparison of laparoscopic versus open sigmoid colectomy for diverticulitis. Ann Surg 252:3–8

    Article  PubMed  Google Scholar 

  47. Klarenbeek BR, Veenhof AA, Bergamaschi R, et al (2009) Laparoscopic sigmoid resection for diverticulitis decreases major morbidity rates: a randomized control trial: short-term results of the Sigma Trial. Ann Surg 249:39–44

    Article  PubMed  Google Scholar 

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Manceau, G., Panis, Y. Quoi de neuf dans la prise en charge chirurgicale des maladies inflammatoires de l’intestin et de la diverticulite depuis la fin du dernier millénaire ?. Colon Rectum 9, 30–35 (2015). https://doi.org/10.1007/s11725-015-0567-5

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  • DOI: https://doi.org/10.1007/s11725-015-0567-5

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