A retrospective analysis of colorectal serrated lesions from 2005 to 2014 in a single center: importance of the establishment of diagnostic patterns

sem informaçãoSerrated colorectal lesions are increasingly recognized as an important process in the development of colorectal cancer. Endoscopic and histological diagnosis may be difficult, and knowledge of the serrated lesions is important for the establishment of stsem informaçãosem informaçãosem informaçã

Paraestomal hernia with gastric outlet obstruction: a case report and literature review

sem informaçãoAn 69-year-old obese woman was submitted to an abdominoperineal resection (APR) with left side end colostomy to treat a synchronic sigmoid and middle rectum cancer. Six months after APR, she develop a PH with a progressive increase of the size. The patien7sem informaçãosem informaçãosem informaçã

Comparative Study Of The Hyperbaric Hyperoxygenation In Ischemic Colonic Loops In Rats

Purpose: To analyze and to evaluate the effect of the hyperbaric hyperoxygenation in the mechanical resistance of ischemic colon of rats. Methods: Eighty rats, distributed in four groups of 20 animals in each one, were used. In group 1 (G1), the control group, ischemia was not caused. Group 2 was submitted to the lesser degree of ischemia. Group 3 was submitted to the intermediate degree of ischemia. In group 4, a bigger degree of intestinal ischemia was provoked. Each group was divided in two sub-groups of ten animals each: with hyperbaric chamber (CC) and without hyperbaric chamber (SC). The animals of the four CC subgroups were placed in an experimental hyperbaric chamber in order to inhale oxygen at 100%, at two Absolute Atmospheres, for 120 minutes, for a four-day consecutive period. The animals of the four SC subgroups were kept in environment air during the five days of the experiment. All animals have been submitted to the mechanical study of the intestinal loop by the pressure test of the rupture by liquid distension. The euthanasia occurred in the fifth post-operative day. Results: Considering the ischemia factor, the four groups were different among them (p=0.0001). There was no statistical difference between subgroups CC and SC (p=0.3461). Conclusion: The hyperbaric oxygen-therapy did not present improvement on the induced ischemia in rats upright colic loop.2228591Fagundes, J.J., Estudo comparativo da cicatrização de anastomoses cólicas realizadas com auxílio do bisturi laser de dióxido de carbono: Trabalho experimental em cães [Tese - Doutorado] (1990) Faculdade de Ciências Médicas da, , UNICAMP;Cohen, S.R., Cornell, C.N., Collins, M.H., Sell, J.E., Blanc, W.A., Altman, R.P., Healing of ischemic colonic anastomoses in the rat: Role of antibiotic preparation (1985) Surgery, 97 (4), pp. 443-446Martins Júnior, A., Guimarães, A.S., Ferreira, A.L., Efeito dos corticosteróides na cicatrização de anastomoses intestinais (1992) Acta Cir Bras, 7, pp. 28-30Furst, M.B., Stromberg, B.V., Blatchford, G.J., Christensen, M.A., Thorson, A.G., Colonic anastomoses: Bursting strength after corticosteroid treatment (1994) Dis Colon Rectum, 37, pp. 12-15Minossi, J.G., Ação do diclofenaco de sódio na cicatrização de anastomoses realizadas no íleo terminal e no cólon distal de ratos (1995) Estudo da força de ruptura, hidroxiprolina tecidual e exame histológico [Tese - Doutorado], , Universidade Estadual Paulista;Garcia, G.G., Criado, F.J.G., Persona, M.A.B., Alonso, A.G., Healing of colonic ischemic anastomoses in the rat: Role of superoxide radicals (1998) Dis Colon Rectum, 41, pp. 892-895Yazdi, P.G., Miedema, B.W., Humphrey, L., Immediate postoperative 5-FU does not decrease colonic anastomotic strength (1998) J Surg Oncol, 69, pp. 125-127Mantovani, M., Leonardi, L.S., Alcântara, F.G., Evolução da cicatrização em anastomoses do intestino grosso de cães em condições de normalidade e sob ação de drogas imunossupressoras: Estudo comparativo em cães (1979) Rev Paul Med, 94, pp. 118-126Yarimkaya, A., Apaydin, B., Unal, E., Karabicak, I., Aydogan, F., Uslu, E., Erginoz, E., Eyuboglu, E., Effects of recombinant human growth hormone and nadrolone phenylpropionate on the healing of ischemic colon anastomosis in rats (2003) Dis Colon Rectum, 46, pp. 1690-1697Greca, F.H., Biondo-Simoes, M.L.P., Paula, J.B., Noronha, L., Cunha, L.S.F., Baggio, P.V., Bittencourt, F.O., Correlação entre o fluxo sangüíneo intestinal e a cicatrização de anastomoses colônicas: Estudo experimental em cães (2000) Acta Cir Bras, 15, pp. 88-94Brito, M.V.H., Koh, I.H.J., Lamarão, L.G., Damous, S.H.B., Efeito do choque hipovolêmico na anastomose do intestino delgado de ratos (2001) Arq Gastroenterol, 38, pp. 116-124Naresse, L.E., Efeito da peritonite fecal na cicatrização do cólon distal no rato (1990) Avaliação anatomo-patológica, estudo da força de ruptura e da hidroxiprolina tecidual [Tese - Doutorado], , Universidade Estadual Paulista;Biondo-Simões, M.L.P., Greca, F.H., Bryk Junior, A., Komatsu, M.C.G., Bittencourt, F.O., Greca, L.M., Influência da peritonite sobre a síntese de colágeno em anastomoses do cólon distal: Estudo experimental em ratos (2000) Acta Cir Bras, 15, pp. 69-73Fraga, G.P., (2001) Análise de fatores de risco no tratamento de lesões de ceco com sutura primária em ratos, , Dissertaç ão, Mestrado, Faculdade de Ciências Médicas da UNICAMP;Decherney, A.H., Dizerega, G.S., Clinical problem of intraperitoneal postsurgical adhesion formation following general surgery and the use adhesion prevention barriers (1997) Surg Clin N Am, 77, pp. 671-689Wu, F.C., Ayrizono, M.L.S., Fagundes, J.J., Coy, C.S.R., Góes, J.R.N., Leonardi, L.S., Estudos biomecânicos da ação de aderências sobre anastomose cólica. Trabalho experimental em ratos (2003) Acta Cir Bras, 18, pp. 216-223Schrok, T.R., Deveney, C.H., Dunphy, J.E., Factors contributing to leakage of colonic anastomosis (1973) Ann Surg, 127, pp. 513-518Tagart, R.E., Colorectal anastomosis: Factors influencing success (1981) J R Soc Med, 74, pp. 111-118Khoury, G.A., Waxmann, B.P., Large bowell anastomoses. I. The healing process and suture anastomoses: A review (1983) Br J Surg, 70, pp. 61-63Foster, M.E., Laycock, J.R., Silver, I.A., Hypovolaemia and healing in colonic anastomosis (1985) Br J Surg, 72, p. 831Van der Ham, A.C., Kort, W.J., Weijma, I.M., Healing of ischemic colonic anastomosis: Fibrin sealant does not improve wound healing (1992) Dis Colon Rectum, 35, pp. 884-890Hamzaoglu, I., Karahasanoglu, T., Aydin, S., Sahin, D.A., Carkman, S., Sariyar, M., Alemdaroglu, K., The effects of hyperbaric oxygen on normal and ischemic colon anastomoses (1998) Am J Surg, 176, pp. 458-461Wu, F.C., Estudo dos efeitos de diferentes concentrações de oxigênio e da hiperoxigenação hiperbárica sobre anastomose cólica comprometida ou não pela isquemia: Trabalho experimental em ratos [Tese - Doutorado] (2003) Faculdade de Ciências Médicas da, , UNICAMP;Tibbles, P.M., Edelsberg, J.S., Hyperbaric-oxygen therapy (1996) N Engl J Med, 334, pp. 1642-1648Iazzetti, P.E., (1992) Hiperoxigenação hiperbárica, pp. 180-204. , Terzi RGG. Equilíbrio ácido-básico e transporte de oxigênio. São Paulo: Manole;Gordillo, G.M., Sen, C.K., Revisiting the essential role of oxygen in wound healing (2003) Am J Surg, 186 (3), pp. 259-263Dockendorf, B.L., Frazee, R.C., Peterson, W.G., Myers, D., Treatment of acute intestinal ischemia with hyperbaric oxygen (1993) South Med J, 86, pp. 518-52

Multiple Desmoid Tumors In A Patient With Gardner's Syndrome - Report Of A Case

INTRODUCTION Desmoid tumor (DT) is a common manifestation of Gardner's Syndrome (GS), although it is a rare condition in the general population. DT in patients with GS is usually located in the abdominal wall and/or intra-abdominal cavity. PRESENTATION OF CASE We report a case of a 32 years-old female patient with familial adenomatous polyposis (FAP), who was already submitted to total colectomy and developed multiple DT, located in the abdominal wall and in the left breast. The patient underwent several surgical procedures, with a multidisciplinary team of surgeons. Wide surgical resections of the left breast and the abdominal wall tumors were performed in separate steps. Polypropylene mesh reconstruction and muscle flaps were needed to cover the defects of the thoracic and abdominal walls. After partial necrosis of the adipose-cutaneous flap in the abdomen that required a new skin graft, she had a satisfactory outcome with complete healing of the surgical incisions. DISCUSSION DT is frequent in GS, however, breast localization is very rare, with few cases reported in the literature. Recurrence of DT is not negligible, even after a wide surgical resection. GS patients must be followed up closely, and clinical examination, associated with imaging studies, should be performed to detect any signs of tumor. CONCLUSION DT represents one of the most significant causes of the morbidity and mortality that affects FAP patients following colectomy. In general, the surgical procedures to excise DT are highly complex, requiring a multidisciplinary team. © 2014 The Authors.57370374Lee, B.D., Lee, W., Oh, S.H., A case report of Gardner syndrome with hereditary widespread osteomatous jaw lesions (2009) Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol, 107 (3), pp. 68-72Jonathan, B., Claire, H., Mary, T., Gardner syndrome - Review and report of a case (2005) Oral Oncol Extra, 41, pp. 89-92Fotiadis, C., Tsekouras, D.K., Sfiniadakis, J., Genetzakis, M., Zografos, G.C., Gardner's syndrome: A case report and review of the literature (2005) World Journal of Gastroenterology, 11 (34), pp. 5408-5411Gómez García, E.B., Knoers, N.V., Gardner's syndrome (familial adenomatous polyposis): A cilia-related disorder (2009) Lancet Oncol, 10 (7), pp. 727-735Cristofaro, M.G., Giudice, A., Amantea, M., Gardner's syndrome: A clinical and genetic study of a family (2013) Oral Surg Oral Med Oral Pathol Oral Radiol, 115 (3), pp. 1-6Gu, G.L., Wang, S.L., Wei, X.M., Diagnosis and treatment of Gardner syndrome with gastric polyposis: A case report and review of the literature (2008) World J Gastroenterol, 14 (13), pp. 2121-2123(2003) Breast Imaging Reporting and Data System, Breast Imaging Atlas, , American College Of Radiology 4th ed. American College of Radiology Reston, VAMerg, A., Lynch, H.T., Lynch, J.F., Hereditary colon cancer-Part i (2005) Curr Probl Surg, 42 (4), pp. 195-256Mao, C., Huang, Y., Howard, J.M., Carcinoma of the ampulla of Vater and mesenteric fibromatosis (desmoid tumor) associated with Gardner's syndrome: Problems in management (1995) Pancreas, 10 (3), pp. 239-245Cruz-Correa, M., Giardiello, F.M., Familial adenomatous polyposis (2003) Gastrointestinal Endoscopy, 58 (6), pp. 885-894. , DOI 10.1016/S0016-5107(03)02336-8, PII S0016510703023368Juhn, E., Khachemoune, A., Gardner syndrome: Skin manifestations, differential diagnosis and management (2010) Am J Clin Drematol, 11 (2), pp. 117-122Turina, M., Pavlik, C.M., Heinimann, K., Recurrent desmoids determine outcome in patients with Gardner syndrome: A cohort study of three generations of an APC mutation-positive family across 30 years (2013) Int J Colorectal Dis, 28 (6), pp. 865-872Brown, C.S., Jeffrey, B., Korentager, R., Desmoid tumors of the bilateral breasts in a patient without Gardner syndrome: A case report and review of literature (2012) Ann Plast Surg, 69 (2), pp. 220-222Leal, R.F., Silva, P.V.V.T., Ayrizono, M.L.S., Desmoid tumor in patients with familial adenomatous polyposis (2010) Arq Gastroenterol, 47, pp. 373-378Rammohan, A., Wood, J.J., Desmoid tumour of the breast as a manifestation of Gardner's syndrome (2012) Int J Surg Case Rep, 3 (5), pp. 139-142Escobar, C., Munker, R., Thomas, J.O., Update on desmoid tumors (2012) Ann Oncol, 23 (3), pp. 562-569Camargo, V.P., Keohan, M.L., D'Adamo, D.R., Clinical outcomes of systemic therapy for patients with deep fibromatosis (desmoid tumor) (2010) Cancer, 116 (9), pp. 2258-2265Xu, H.M., Han, J.G., Ma, S.Z., Related citations treatment of massive desmoid tumour and abdominal wall reconstructed with meshes in Gardner's Syndrome (2010) J Plast Recontr Aesthet Surg, 63 (6), pp. 1058-106

Defective apoptosis in intestinal and mesenteric adipose tissue of crohn's disease patients

Background: Crohn's disease (CD) is associated with complex pathogenic pathways involving defects in apoptosis mechanisms. Recently, mesenteric adipose tissue (MAT) has been associated with CD ethiopathology, since adipose thickening is detected close to the affected intestinal area. However, the potential role of altered apoptosis in MAT of CD has not been addressed. Aims: To evaluate apoptosis in the intestinal mucosa and MAT of patients with CD. Methods: Samples of intestinal mucosa and MAT from patients with ileocecal CD and from non-inflammatory bowel diseases patients (controls) were studied. Apoptosis was assessed by TUNEL assay and correlated with the adipocytes histological morphometric analysis. The transcriptional and protein analysis of selected genes and proteins related to apoptosis were determined. Results: TUNEL assay showed fewer apoptotic cells in CD, when compared to the control groups, both in the intestinal mucosa and in MAT. In addition, the number of apoptotic cells (TUNEL) correlated significantly with the area and perimeter of the adipose cells in MAT. Transcriptomic and proteomic analysis reveal a significantly lower transcript and protein levels of Bax in the intestinal mucosa of CD, compared to the controls; low protein levels of Bax were found localized in the lamina propria and not in the epithelium of this tissue. Furthermore, higher level of Bcl-2 and low level of Caspase 3 were seen in the MAT of CD patients. Conclusion: The defective apoptosis in MAT may explain the singular morphological characteristics of this tissue in CD, which may be implicated in the pathophysiology of the disease. © 2014 Dias et al.Crohn's disease (CD) is associated with complex pathogenic pathways involving defects in apoptosis mechanisms. Recently, mesenteric adipose tissue (MAT) has been associated with CD ethiopathology, since adipose thickening is detected close to the affected intestinal area. However, the potential role of altered apoptosis in MAT of CD has not been addressed. Aims: To evaluate apoptosis in the intestinal mucosa and MAT of patients with CD. Methods: Samples of intestinal mucosa and MAT from patients with ileocecal CD and from non-inflammatory bowel diseases patients (controls) were studied. Apoptosis was assessed by TUNEL assay and correlated with the adipocytes histological morphometric analysis. The transcriptional and protein analysis of selected genes and proteins related to apoptosis were determined. Results: TUNEL assay showed fewer apoptotic cells in CD, when compared to the control groups, both in the intestinal mucosa and in MAT. In addition, the number of apoptotic cells (TUNEL) correlated significantly with the area and perimeter of the adipose cells in MAT. Transcriptomic and proteomic analysis reveal a significantly lower transcript and protein levels of Bax in the intestinal mucosa of CD, compared to the controls; low protein levels of Bax were found localized in the lamina propria and not in the epithelium of this tissue. Furthermore, higher level of Bcl-2 and low level of Caspase 3 were seen in the MAT of CD patients. Conclusion: The defective apoptosis in MAT may explain the singular morphological characteristics of this tissue in CD, which may be implicated in the pathophysiology of the disease96e9854

Human Fibrinogen And Thrombin Patch For Extraluminal Protection Of Intestinal Anastomosis [membrana De Fibrinogênio E Trombina Humanos Para Proteção Extra-luminal De Anastomoses Intestinais]

In spite of recent advances regarding equipment and surgical techniques in colorectal surgery, rates of anastomotic dehiscence (AD) have remained stable throughout the years. The development of products to protect anastomosis aiming the reduction of AD rates has shown to be promising. Human fibrinogen and thrombin patch (HFTP - Tachosil®) have been used in experimental studies in animals and small case series in humans, with promising results. In this study, the authors describe the technique of HFTP use in details, aiming the protection of colorectal anastomosis, and retrospectively demonstrate the preliminary results in a pilot case series. HFTP was used in 4 patients submitted to conventional surgery. The procedures performed were: left colon resection, segmental colectomy (both for colorectal cancer), enteral anastomosis for fistula closure and right ileocolectomy. Anasto-motic healing and absence of complications were observed in 3 patients, and the patient submitted to right ileocolectomy developed AD and died after reoperation. The use of HFTP is safe and can be indicated in selected cases. However, AD can occur even after the use of this strategy. Randomized controlled trials with larger samples of patients are needed in order to properly define the real benef ts of this strategy in dehiscence prevention. © 2013 Elsevier Editora Ltda. All rights reserved.333174178Davis, B., Rivadeneira, D.E., Complications of Colorectal Anastomoses (2013) Surg Clin N Am, 93, pp. 61-87Shogan, B.D., Carlisle, E.M., Alverdy, J.C., Umanskiy, K., Do We Really Know Why Colorectal Anastomoses Leak? (2013) J Gastrointest Surg, , May 21 [Epub ahead of print]Caulfield, H., Hyman, N.H., Anastomotic Leak After Low Anterior Resection (2013) JAMA Surg, 148 (2), pp. 177-182Slieker, J.C., Daams, F., Mulder, I.M., Jeekel, J., Lange, J.F., Systematic review of the technique of colorectal anastomosis (2013) JAMA Surg, 148 (2), pp. 190-201. , FebDaams, F., Luyer, M., Lange, J.F., Colorectal anastomotic leakage: Aspects of prevention, detection and treatment World (2013) J Gastroenterol, 19 (15), pp. 2293-2297. , AprilNeutzling, C.B., Lustosa, S.A., Proenca, I.M., Stapled versus hand-sewn methods for colorectal anastomosis surgery (2012) Cochrane Database Syst Rev, 2, pp. CD003144Lustosa, S.A., Matos, D., Atallah, A.N., Castro, A.A., Stapled versus handsewn methods for colorectal anastomosis surgery (2001) Cochrane Database Syst Rev, 3, pp. CD003144Macrae, H.M., McLeod, R.S., Handsewn vs. stapled anastomoses in colon and rectal surgery: A meta-analysis (1998) Dis Colon Rectum, 41, pp. 180-189Ho, Y.H., Ashour, M.A.T., Techniques for colorectal anastomosis (2010) World J Gastroenterol, 16 (13), pp. 1610-1621. , April 7Parker, M.C., Pohlen, U., Borel Rinkes, I.H.M., Delvin, T., The application of TachoSil® for sealing colorectal anastomosis: A feasibility study (2013) Colorectal Disease, 15 (2), pp. 252-257Bakker, I.S., Morks, A.N., Hoedemaker, H.O.C., Burgerhof, J.G.M., Leuvenink, H.G., Ploeg, R.J., Havenga, K., The C-seal trial: Colorectal anastomosis protected by a biodegradable drain fixed to the anastomosis by a circular stapler, a multi-center randomized controlled trial (2012) BMC Surg, 12, p. 23Pommergaard, H.C., Achiam, M.P., Rosenberg, J., External coating of colonic anastomoses: A systematic review (2012) Int J Colorectal Dis, 27, pp. 1247-1258Vakalopoulos, K.A., Daams, F., Wu, Z., Timmermans, L., Jeekel, J.J., Kleinrensink, G.J., Ham, A.V.D., Lange, J.F., Tissue adhesives in gastrointestinal anastomosis: A systematic review (2013) Journal IF Surg Res, 180, pp. 290-300Huh, J.W., Kim, H.R., Kim, Y.J., Anastomotic leakage after laparoscopic resection of rectal cancer: The impact of fibrin glue (2010) Am J Surg, 199 (4), pp. 435-441Rickenbacher, A., Breitenstein, S., Lesurtel, M., Frilling, A., Efficacy of TachoSil a f brin-based haemostat in different f elds of surgery - a systematic review (2009) Expert Opin Biol Ther, 9, pp. 897-907Pantelis, D., Beissel, A., Kahl, P., Wehner, S., Vilz, T.O., Kalff, J.C., The effect of sealing with a f xed combination of collagen matrixbound coagulation factors on the healing of colonic anastomoses in experimental high-risk mice models (2010) Langenbecks Arch Surg, 395 (8), pp. 1039-1048Nordentoft, T., Rømer, J., Sørensen, M., Sealing of gastrointestinal anastomoses with a fibrin glue-coated collagen patch: A safety study (2007) J Invest Surg, 20, pp. 363-369de Stefano, A., Bettarini, F., Di Mare, G., Neri, A., Enteric anastomosis and Tachosil (2011) Minerva Chir, 66, pp. 183-18

Comparação dos níveis de proteína C reativa, GLP-1 e GLP-2 entre indivíduos diabéticos, obesos mórbidos e controles saudáveis: um estudo exploratório

sem informaçãoThe glucagon-like peptides 1 and 2 (GLP-1/GLP-2) are gut hormones that may directly affect the glucose homeostasis and their activity seems to be significantly affected by chronic inflammation. To evaluate the postprandial levels of glucagon-like peptide5517277sem informaçãosem informaçãosem informaçã

Crohn's Disease Small Bowel Strictureplasties: Early And Late Results [plastias De Estenoses De Intestino Delgado Na Doença De Crohn: Resultados Imediatos E Tardios]

Background - Strictureplasty is an alternative surgical procedure for Crohn's disease, particulary in patients with previous resections or many intestinal stenosis. Aim - To analyze surgical complications and clinical follow-up in patients submitted to strictureplasty secondary to Crohn's disease. Methods - Twenty-eight patients (57.1% male, mean age 33.3 years, range 16-54 years) with Crohn's disease and intestinal stenosis (small bowel, ileocecal region and ileocolic anastomosis) were submitted to strictureplasty, at one institution, between September 1991 and May 2004. Thirteen patients had previous intestinal resections. The mean follow-up was 58.1 months. A total of 116 strictureplasties were done (94 Heineke-Mikulicz - 81%, 15 Finney - 13%, seven side-to-side ileocolic strictureplasty - 6%). Three patients were submitted to strictureplasty at two different surgical procedures and two in three procedures. Results - Regarding to strictureplasty, postoperative complication rate was 25% and mortality was 3.6%. Early local complication rate was 57.1%, with three suture leaks (10.7%) and late complication was present in two patients, both with incisional hernial and enterocutaneous fistulas (28.6%). Patients remained hospitalized during a medium time of 12.4 days. Clinical and surgical recurrence rates were 63% and 41%, respectively. Among the patients submitted to another surgery, two patients had two more operations and one had three. Recurrence rate at strictureplasty site was observed in 3.5%, being Finney technique the commonest one. Presently, 19 patients had been asymptomatic with the majority of them under medical therapy. Conclusion - Strictureplasties have low complication rates, in spite of having been done at compromised site, with long term pain relief. Considering the clinical course of Crohn's disease, with many patients being submitted to intestinal resections, strictureplasties should be considered as an effective surgical treatment to spare long intestinal resections.443215220Alexander-Williams, J., Non-resection operations for small bowel Crohn's disease (1984) Acta Gastroenterol Belg, 47, pp. 355-359Alexander-Williams, J., Surgical management of small intestinal Crohn's disease: Resection or strictureplasty (1994) Semin Colon Rectal Surg, 5, pp. 193-198Baba, S., Nakai, K., Strictureplasty for Crohn's disease in Japan (1995) J Gastroenterol, 30, pp. 135-138Crohn, B.B., Ginzburg, L., Oppenheimer, G.D., Regional ileitis. a pathologic and clinical entity (1932) JAMA, 99, pp. 1323-1329Dehn, T.C., Kettwell, M.G., Mortensen, N.J., Lee, E.C., Jewell, D.P., Ten-year experience of strictureplasty for obstructive Crohn's disease (1989) Br J Surg, 76, pp. 339-341Di Abriola, G.F., De Angeli, P., Dail'Oglio, L., Di Lorenzo, M., Strictureplasty: An alternative approach in long segment bowel stenosis Crohn's disease (2003) J Pediatr Surg, 38, pp. 814-818Dietz, D.W., Laureti, S., Strong, S.A., Hull, T.L., Church, J., Remzi, F.H., Lavery, I.C., Fazio, V.W., Safety and long term efficacy of strictureplasty in 314 patients with obstructing small bowel Crohn's disease (2001) J Am Coll Surg, 192, pp. 330-337Dietz, D.W., Fazio, V.W., Laureti, S., Strong, S.A., Hull, T.L., Church, J., Remzi, F.H., Senagore, A.J., Strictureplasty in diffuse Crohn's jejunoileitis: Safe and durable (2002) Dis Colon Rectum, 45, pp. 764-770Fazio, V.W., Galandiuky, S., Strictureplasty in diffuse Crohn's jejunoileitis (1985) Dis Colon Rectum, 28, pp. 512-518Fazio, V.W., Galandiuky, S., Jagelman, D.G., Lavery, I.C., Strictureplasty in Crohn's disease (1989) Ann Surg, 210, pp. 621-625Fazio, V.W., Tjandra, J.J., Lavery, I.C., Church, J.M., Milson, J.W., Oakley, J.R., Long-term follow-up of strictureplasty in Crohn's disease (1993) Dis Colon Rectum, 36, pp. 355-361Fazio, V.W., Marchetti, F., Church, M., Goldblum, J.R., Lavery, I.C., Hull, T.L., Milson, J.W., Secic, M., Effect of resection margins on the recurrence of Crohn's disease in the small bowel: A randomized controlled trial (1996) Ann Surg, 224, pp. 563-573Gaetini, A., De Simone, M., Resegotti, A., Our experience with strictureplasty in the surgical treatment of Crohn's disease (1989) Hepatogastroenterology, 36, pp. 511-515Gardiner, K.R., Kettewell, M.G., Mortensen, N.J., Intestinal haemorrhage after strictureplasty for Crohn's disease (1996) Int J Colorectal Dis, 1, pp. 180-182Garlock, J.H., Crohn, B.B., An appraisal of the results of surgery and treatment of regional ileitis (1945) JAMA, 127, pp. 205-211Greenstein, A.J., Sachar, D.B., Pasternack, B.S., Janowitz, H.D., Reoperation and recurrence in Crohn's colitis and ileocolitis. Crude and cumulative rates (1975) N Engl J Med, 293, pp. 685-690Greenstein, A.J., Sachar, D.B., Pucillo, A., Kreel, I., Geller, S., Janowitz, H.D., Aufses, A., Cancer in Crohn's disease after diversionary surgery. A report of seven carcinomas occurring in excluded bowel (1978) Am J Surg, 135, pp. 86-90Harvey, R.F., Bradshaw, J.M., A simple index of Crohn's disease activity (1980) Lancet, 1, p. 514Heuman, R., Boeryd, B., Bolin, T., Sjodahl, R., The influence of disease of the margin of resection on the outcome of Crohn's disease (1983) Br J Surg, 70, pp. 519-521Hurst, R.D., Michelassi, F., Strictureplasty for Crohn's disease: Techniques and long-term results (1998) World J Surg, 22, pp. 359-363Jaskowiak, N.T., Michelassi, F., Adenocarcinoma at a strictureplasty site in Crohn's disease: Report of a case (2001) Dis Colon Rectum, 44, pp. 284-287Katariya, R.N., Sood, S., Rao, P.G., Rao, P.L.N.G., Strictureplasty for tubercular strictures of the gastrointestinal tract (1977) Br J Surg, 64, pp. 496-498Laurent, S., Detry, O., Detroz, B., De Roover, A., Joris, J., Honoré, P., Louis, E., Jacquet, N., Strictureplasty in Crohn's disease: Short and long-term follow-up (2002) Acta Chir Belg, 102, pp. 253-255Lavery IC, Souza VCT. 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