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@article{1544148, author = {Čan, Vladimír and Marek, Filip and Kala, Zdeněk and Poredská, Karolina and Kroupa, Radek and Tvrdíková, Eliška and Andrašina, Tomáš and Procházka, Vladimír and Kunovský, Lumír}, article_location = {Praha}, article_number = {1}, keywords = {Bowel continuity restoration; Crohn’s disease}, language = {cze}, issn = {1804-7874}, journal = {Gastroenterologie a hepatologie}, title = {Ileocaecal Crohn's disease and familial adenomatous polyposis in one patient - a case report}, url = {https://www.prolekare.cz/en/journals/gastroenterology-and-hepatology/2019-1-5/ileocaecal-crohn-s-disease-and-familial-adenomatous-polyposis-in-one-patient-a-case-report-108089}, volume = {73}, year = {2019} }
TY - JOUR ID - 1544148 AU - Čan, Vladimír - Marek, Filip - Kala, Zdeněk - Poredská, Karolina - Kroupa, Radek - Tvrdíková, Eliška - Andrašina, Tomáš - Procházka, Vladimír - Kunovský, Lumír PY - 2019 TI - Ileocaecal Crohn's disease and familial adenomatous polyposis in one patient - a case report JF - Gastroenterologie a hepatologie VL - 73 IS - 1 SP - 46-51 EP - 46-51 PB - Ambit Media SN - 18047874 KW - Bowel continuity restoration KW - Crohn’s disease UR - https://www.prolekare.cz/en/journals/gastroenterology-and-hepatology/2019-1-5/ileocaecal-crohn-s-disease-and-familial-adenomatous-polyposis-in-one-patient-a-case-report-108089 L2 - https://www.prolekare.cz/en/journals/gastroenterology-and-hepatology/2019-1-5/ileocaecal-crohn-s-disease-and-familial-adenomatous-polyposis-in-one-patient-a-case-report-108089 N2 - 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. ER -
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. \textit{Gastroenterologie a hepatologie}. Praha: Ambit Media, 2019, vol.~73, No~1, p.~46-51. ISSN~1804-7874.
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