Perianal and Colonic Crohns Disease

When isolated perianal Crohn's disease is present, loop ileostomy is often offered to patients as a temporary or definitive solution. Laparoscopic ileostomy construction is easily performed [20] and at the same time it gives the possibility of performing a complete abdominal exploration in order to detect additional sites of disease. Bowel obstruction due to bowel twisting is a possible complication and therefore particular care has to be taken to mark the bowel in order to exteriorise it in the proper manner and with the proper orientation. As a general rule, during surgery for Crohn's disease, all the scars and all the port sites must be positioned in areas distant from possible sites that may have to be used in the future for stoma creation.

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