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.
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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.
Other information
Original language Czech
Type of outcome Article in a journal
Field of Study 30212 Surgery
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
WWW 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
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 11/5/2020 09:24.
Abstract
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.
Abstract (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.
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