Clinical Challenges in Colorectal Surgery: Management of Small Bowel Strictures in Crohn’s Disease

Behind The Knife: The Surgery Podcast

Science, Health & Fitness, Medicine, Education

4.8 • 1.4K Ratings

🗓️ 3 November 2022

⏱️ 36 minutes

🔗️ Recording | iTunes | RSS

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Summary

You have a young patient with longstanding Crohn’s disease with a history of small bowel resections presenting with recurrent obstructions from a stricture. The patient has exhausted all medical options and requires surgery. How should you work up this patient prior to surgery? Should you perform a bowel resection or perform a strictureplasty? Which strictureplasty do you choose and why?

Join Drs. Peter Marcello, Jonathan Abelson, Tess Aulet and special guest Dr. Fabrizio Michelassi as they discuss the management of small bowel strictures in Crohn’s disease.

Learning Objectives
1. Describe the evaluation for small bowel strictures and indications for operating in patients with Crohn’s disease
2. Discuss the different surgical options in managing small bowel strictures
3. Explain the rationale behind use of different strictureplasty approaches

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Transcript

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0:00.0	Behind the Night, the Surgery Podcast.
0:09.0	Relevant and engaging content designed to help you dominate the day.
0:22.0	Alright, hello behind the knife listeners.
0:25.0	We're so excited.
0:26.0	I'm going to be back with you for another clinical challenges in Poland and rectal surgery with the Leahy colorectal surgery team.
0:33.0	We have another very, very special guest who is joining us today, and I'm going to introduce them shortly to recap our prior episodes.
0:40.0	We talked about endoscopic management of advanced colorectal polyps.
0:44.0	The role of total neoadjement therapy for locally advanced rectal cancer.
0:48.0	Surgical management of rectal prolapse.
0:51.0	The use of biologic medications and patients with Crohn's disease, requiring illiocolic resections.
0:57.0	And today we're thrilled to continue the theme of managing complex Crohn's disease.
1:02.0	And specifically, we're going to focus on small bowel structures.
1:06.0	And so if you haven't caught the most recent episode from the Montreal team, it'll pair nicely with ours.
1:12.0	And so they dived into the supreme CD study and discussed the colon OS anastomosis in their journal club.
1:19.0	And so once again with us, we have Dr. Peter West Marcello and Dr. Tess Hannah Allett say hi gang.
1:27.0	Hey team, great to be back and record our fifth episode of behind the knife.
1:33.0	Hey Leahy, missing you all in Burlington.
1:36.0	Sad I can't be there in person tonight.
1:38.0	We miss you to test.
1:40.0	Yes.
1:41.0	All right, so today we have a very, very special guest is going to be joining us.
1:45.0	And I'm honored to introduce Dr. Forbrizio Mikalasi.
	...

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