A comparative analysis and choice of surgical tactics in pediatric Crohn’s disease
- 作者: Poddubniy I.V.1,2, Scherbakova O.V.3, Trunov V.O.3, Kozlov M.Y.1, Manukyan S.R.1,2, Galkina Y.A.1
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隶属关系:
- Morozovskaya Children’s Clinical Hospital
- А.I. Evdokimov Moscow University of Medicine and Dentistry
- Pirogov Russian Medical University
- 期: 卷 26, 编号 2 (2022)
- 页面: 69-73
- 栏目: ORIGINAL STUDY
- ##submission.dateSubmitted##: 21.06.2022
- ##submission.dateAccepted##: 21.06.2022
- ##submission.datePublished##: 21.06.2022
- URL: https://jps-nmp.ru/jour/article/view/459
- DOI: https://doi.org/10.55308/1560-9510-2022-26-2-69-73
- ID: 459
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详细
Introduction. Currently, surgical complications in Crohn’s disease is still one of the most serious problems in pediatric surgery. An intensive development of video endoscopic surgery contributes to the active introduction of this technology in pediatric coloproctological practice. Crohn’s disease is still one of the most complex pathologies in pediatric gastroenterology, and surgical treatment of its complications is a disputable issue among pediatric surgeons. Up to now, there are no clear indications to surgery in the refractory form of Crohn’s disease, no standardized terms and types for surgical intervention, as well as no optimal variants of surgical access.
Material and methods. A retrospective analysis of patients who had been treated surgically at departments of abdominal and emergency surgery in two pediatric hospitals in Moscow (Morozovskaya and Izmailovskaya ) was carried out. 39 children with Crohn’s disease, aged 4–17 year, were included in the study. All patients had standard clinical examination: clinical examination with anamnesis, laboratory and instrumental diagnostics.
Results. The obtained results have shown that laparoscopic interventions have a number of advantages, such as less traumatic surgery, reduced exposure to anesthesia and shorter intestinal stimulation, less stay in ICU, shorter hospitalization as well as more rapid rehabilitation period.
Conclusion. The performed assessment of outcomes after surgical treatment of children with complicated Crohn’s disease helped to develop indications for the selection of surgical technique in the ileocecal form. Thus, the obtained results improved outcomes in children with complicated Crohn’s disease because of the outlined indications for surgery and surgical tactics when minimally invasive techniques are more preferable.
作者简介
I. Poddubniy
Morozovskaya Children’s Clinical Hospital; А.I. Evdokimov Moscow University of Medicine and Dentistry
编辑信件的主要联系方式.
Email: igorpoddubnyi@yandex.ru
Igor V. Poddubniy, professor, head of chair of pediatric surgery
Moscow, 127473
Moscow, 119049
俄罗斯联邦O. Scherbakova
Pirogov Russian Medical University
Email: fake@neicon.ru
Moscow, 117997
俄罗斯联邦V. Trunov
Pirogov Russian Medical University
Email: fake@neicon.ru
Moscow, 117997
俄罗斯联邦M. Kozlov
Morozovskaya Children’s Clinical Hospital
Email: fake@neicon.ru
Moscow, 127473
俄罗斯联邦S. Manukyan
Morozovskaya Children’s Clinical Hospital; А.I. Evdokimov Moscow University of Medicine and Dentistry
Email: fake@neicon.ru
Moscow, 127473
Moscow, 119049
俄罗斯联邦Ya. Galkina
Morozovskaya Children’s Clinical Hospital
Email: fake@neicon.ru
Moscow, 127473
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