Ileocaecal Crohn's disease and familial adenomatous polyposis in one patient - a case report

ČAN, Vladimír, Filip MAREK, Zdeněk KALA, Karolina POREDSKÁ, Radek KROUPA, Eliška TVRDÍKOVÁ, Tomáš ANDRAŠINA, Vladimír PROCHÁZKA and Lumír KUNOVSKÝ. Ileocaecal Crohn's disease and familial adenomatous polyposis in one patient - a case report. Gastroenterologie a hepatologie. Praha: Ambit Media, 2019, vol. 73, No 1, p. 46-51. ISSN 1804-7874.

Basic information

Original name

Ileocaecal Crohn's disease and familial adenomatous polyposis in one patient - a case report

Name in Czech

Crohnova nemoc ileocekální oblasti a familiární adenomatózní polypóza u jednoho pacienta - kazuistika

Name (in English)

Ileocaecal Crohn's disease and familial adenomatous polyposis in one patient - a case report

Authors

ČAN, Vladimír (703 Slovakia, belonging to the institution), Filip MAREK (203 Czech Republic, belonging to the institution), Zdeněk KALA (203 Czech Republic, belonging to the institution), Karolina POREDSKÁ (203 Czech Republic, belonging to the institution), Radek KROUPA (203 Czech Republic, belonging to the institution), Eliška TVRDÍKOVÁ (203 Czech Republic, belonging to the institution), Tomáš ANDRAŠINA (703 Slovakia, belonging to the institution), Vladimír PROCHÁZKA (203 Czech Republic, belonging to the institution) and Lumír KUNOVSKÝ (203 Czech Republic, guarantor, belonging to the institution)

Edition

Gastroenterologie a hepatologie, Praha, Ambit Media, 2019, 1804-7874

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Other information

Language

Czech

Type of outcome

Článek v odborném periodiku

Field of Study

30212 Surgery

Country of publisher

Czech Republic

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

RIV identification code

RIV/00216224:14110/19:00110075

Organization unit

Faculty of Medicine

Keywords (in Czech)

familiární adenomatózní polypóza; Crohnova choroba; obnova střevní kontinuity; kolektomie; ileorektální anastomóza; J-pouch; ileopouch-anální anastomóza

Keywords in English

Bowel continuity restoration; Crohn’s disease

Tags

rivok

Tags

International impact, Reviewed

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Abstract

V originále

Crohn's disease (CD) and familial adenomatous polyposis (FAP) are two diffrent diseases and both affect the gastrointestinal tract.FAP is an autosomal dominant inherited disease; however, the aethiology of CD is still unknown and is supposed to be multifactorial (genetics, environment, immune state, microbiom). The therapy of these two diseases differs as well. The ultimate solution for FAP is surgery (colectomy orproctocolectomy). On the other hand, CD can be treated either conservatively or surgically. Generally, in cases of bowel resection, the alternative of gastointestinal tract restoration has to be considered. This decision is more challenging in patients diagnosed with both diseases (CD and FAP). We present the case of a young female with FAP who was diagnosed with active CD in the ileocaecal region. Due to multiple large colon polyps and a stenotic terminal ileum, she was indicated for surgery (colectomy with terminal ileostomy and terminal ileum resection). Subsequently, an ileorectal anastomosis was construced. In further text, we also discuss other bowel restoration solutions, such as ileal pouch-anal anastomosis and abdominoperineal resection with terminal ileostomy.

In English

Crohn's disease (CD) and familial adenomatous polyposis (FAP) are two diffrent diseases and both affect the gastrointestinal tract.FAP is an autosomal dominant inherited disease; however, the aethiology of CD is still unknown and is supposed to be multifactorial (genetics, environment, immune state, microbiom). The therapy of these two diseases differs as well. The ultimate solution for FAP is surgery (colectomy orproctocolectomy). On the other hand, CD can be treated either conservatively or surgically. Generally, in cases of bowel resection, the alternative of gastointestinal tract restoration has to be considered. This decision is more challenging in patients diagnosed with both diseases (CD and FAP). We present the case of a young female with FAP who was diagnosed with active CD in the ileocaecal region. Due to multiple large colon polyps and a stenotic terminal ileum, she was indicated for surgery (colectomy with terminal ileostomy and terminal ileum resection). Subsequently, an ileorectal anastomosis was construced. In further text, we also discuss other bowel restoration solutions, such as ileal pouch-anal anastomosis and abdominoperineal resection with terminal ileostomy.