INTRAOPERATIVE ENDOSCOPY IS SAFE AND HELPS TO DETERMINE THE RESECTION EXTENT IN CROHN`S DISEASE

Background: To determine the extent of the resection in Crohn`s disease (CD), intraoperative endoscopy can be of value but the data on its safety and usefulness in this setting are scarce. The aim of our study was first, to analyze the safety of intraoperative endoscopy. Second, we aimed to determine its impact on the extent of the resection.  Patients&Methods: CD patients operated on in one centre from January 2015 till December 2016 were included. The differences in the postoperative course and complications between endoscopy and no endoscopy group were analyzed. In addition, the impact of intraoperative endoscopy findings on the extent of the resection was determined. Results: In total, 46 CD patients underwent surgery and 25 intraoperative endoscopies were performed in 20 pts. The endoscopy group had significantly longer median hospital stay compared with the group without endoscopy (respective medians of 6,5 vs. 5 days, p=0.019). There were no significant differences between the two groups in other parameters. In 12 out of 20 patients in endoscopy group the information provided by endoscopy led to change in the extent of resection. Conclusion: Intraoperative endoscopy is a safe and useful tool helping to tailor the extent of surgery in complicated Crohn`s disease.

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