Celiac disease surgery: Difference between revisions
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==Overview== | ==Overview== | ||
Surgery is not the first-line treatment option for patients with celiac disease. Surgery is usually reserved for patients with refractory or pre-malignant complications, such as Enteropathy Associated T-cell Lymphoma (EATL) and ulcerative jejunitis (UJ). EATL patients presenting with ulcerative lesions, stenotic lesions, and perforation needs surgical intervention. Surgery also serves as a pre-therapy treatment in order to prevent perforation of the small bowel during (chemo)therapy. After surgery patients receive immuno-, chemotherapy and/or stem cell transplantation. | |||
Surgery is not the first-line treatment option for patients with | |||
==Surgery== | ==Surgery== | ||
* | *The small bowel is resected either by a laparoscopic or a laparotomy procedure depending on the location, the setting (elective/acute) and the preference of the surgeon performing the intervention. | ||
*Mobilization and transection of the bowel are performed and the involved segment resected if possible. | |||
* | *Resectability is assessed peri-operatively and has three types radical, partial or unresectable. Radical resection is a complete resection of the tumor mass. partial resection is when only some but not all of the tumor mass is resected. Unresectability is the the inability to resect any part of the tumor. | ||
==Indications== | ==Indications== | ||
* Perforation | |||
* Stenosis | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Gastroenterology]] | |||
[[Category:Primary care]] | |||
[[Category:Rheumatology]] | |||
[[Category:Autoimmune diseases]] | |||
[[Category:Gastroenterology]] | |||
[[Category:Genetic disorders]] | |||
[[Category:Malnutrition]] | |||
[[Category:Pediatrics]] | |||
[[Category:Dermatology]] | |||
[[Category:Primary care]] | |||
[[Category:Up-To-Date]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 14:35, 12 September 2017
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Celiac disease Microchapters |
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Diagnosis |
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Treatment |
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Medical Therapy |
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Case Studies |
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Celiac disease surgery On the Web |
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American Roentgen Ray Society Images of Celiac disease surgery |
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Risk calculators and risk factors for Celiac disease surgery |
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Xyz Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Celiac disease surgery On the Web |
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American Roentgen Ray Society Images of Celiac disease surgery |
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Risk calculators and risk factors for Celiac disease surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Template:Ajay Gade
Overview
Surgery is not the first-line treatment option for patients with celiac disease. Surgery is usually reserved for patients with refractory or pre-malignant complications, such as Enteropathy Associated T-cell Lymphoma (EATL) and ulcerative jejunitis (UJ). EATL patients presenting with ulcerative lesions, stenotic lesions, and perforation needs surgical intervention. Surgery also serves as a pre-therapy treatment in order to prevent perforation of the small bowel during (chemo)therapy. After surgery patients receive immuno-, chemotherapy and/or stem cell transplantation.
Surgery
- The small bowel is resected either by a laparoscopic or a laparotomy procedure depending on the location, the setting (elective/acute) and the preference of the surgeon performing the intervention.
- Mobilization and transection of the bowel are performed and the involved segment resected if possible.
- Resectability is assessed peri-operatively and has three types radical, partial or unresectable. Radical resection is a complete resection of the tumor mass. partial resection is when only some but not all of the tumor mass is resected. Unresectability is the the inability to resect any part of the tumor.
Indications
- Perforation
- Stenosis