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The Portsmouth protocol for intra-operative ultrasound of the small bowel in Crohn’s disease

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Standard

The Portsmouth protocol for intra-operative ultrasound of the small bowel in Crohn’s disease. / Celentano, V.; Beable, R.; Ball, C.; Flashman, K. G.; Reeve, R.; Holmes, A.; Fogg, C.; Harper, M.; Higginson, A.

In: Colorectal Disease, Vol. 22, No. 3, 01.03.2020, p. 342-345.

Research output: Contribution to journalArticle

Harvard

Celentano, V, Beable, R, Ball, C, Flashman, KG, Reeve, R, Holmes, A, Fogg, C, Harper, M & Higginson, A 2020, 'The Portsmouth protocol for intra-operative ultrasound of the small bowel in Crohn’s disease', Colorectal Disease, vol. 22, no. 3, pp. 342-345. https://doi.org/10.1111/codi.14888

APA

Celentano, V., Beable, R., Ball, C., Flashman, K. G., Reeve, R., Holmes, A., Fogg, C., Harper, M., & Higginson, A. (2020). The Portsmouth protocol for intra-operative ultrasound of the small bowel in Crohn’s disease. Colorectal Disease, 22(3), 342-345. https://doi.org/10.1111/codi.14888

Vancouver

Celentano V, Beable R, Ball C, Flashman KG, Reeve R, Holmes A et al. The Portsmouth protocol for intra-operative ultrasound of the small bowel in Crohn’s disease. Colorectal Disease. 2020 Mar 1;22(3):342-345. https://doi.org/10.1111/codi.14888

Author

Celentano, V. ; Beable, R. ; Ball, C. ; Flashman, K. G. ; Reeve, R. ; Holmes, A. ; Fogg, C. ; Harper, M. ; Higginson, A. / The Portsmouth protocol for intra-operative ultrasound of the small bowel in Crohn’s disease. In: Colorectal Disease. 2020 ; Vol. 22, No. 3. pp. 342-345.

Bibtex

@article{fefe08428e1944a6bfdca5464488f2da,
title = "The Portsmouth protocol for intra-operative ultrasound of the small bowel in Crohn{\textquoteright}s disease",
abstract = "Introduction: Bowel preservation is paramount in Crohn{\textquoteright}s disease surgery as affected patients are typically young adults at risk of having several abdominal surgical procedures during their lifetime. Intraoperative assessment of extent and location of Crohn{\textquoteright}s disease is not standardised and is left to a mixture of surgeons {\textquoteleft}experience, tactile feedback, macroscopic appearance and preoperative imaging. The aim of this study was to describe the technical steps of a standardised protocol for intraoperative ultrasound assessment of the small bowel in patients undergoing surgery for ileocolonic Crohn{\textquoteright}s Disease.Technique: After laparoscopic mobilisation of the bowel a periumbilical incision is performed for extracorporeal division of the mesentery and the resection and anastomosis. A gastrointestinal consultant radiologist, with expertise in Crohn{\textquoteright}s disease imaging and abdominal ultrasound performs the full intraoperative assessment of the small bowel, by applying directly on the bowel a sterile probe, prior to resection being performed by the surgeon. The bowel is assessed through the wound protector with a sterile technique and the length, location and number of segments is documented together with further quantitative assessment using the (MREnterography or ultrasound in Crohn{\textquoteright}s disease) METRIC scoring guide.Results: A step by step protocol for intraoperative ultrasound evaluation of the entire small bowel has been described.Conclusions: A standardised approach to intraoperative evaluation of extent and location of Crohn{\textquoteright}s disease is desirable. Intraoperative ultrasound may provide added value for assessment of proximal and multifocal Crohn{\textquoteright}s disease.",
keywords = "Crohn's disease, colorectal surgery, ileocaecal resection, intraoperative ultrasound, small bowel",
author = "V. Celentano and R. Beable and C. Ball and Flashman, {K. G.} and R. Reeve and A. Holmes and C. Fogg and M. Harper and A. Higginson",
year = "2020",
month = mar,
day = "1",
doi = "10.1111/codi.14888",
language = "English",
volume = "22",
pages = "342--345",
journal = "Colorectal Disease",
issn = "1462-8910",
publisher = "Wiley Online Library",
number = "3",

}

RIS

TY - JOUR

T1 - The Portsmouth protocol for intra-operative ultrasound of the small bowel in Crohn’s disease

AU - Celentano, V.

AU - Beable, R.

AU - Ball, C.

AU - Flashman, K. G.

AU - Reeve, R.

AU - Holmes, A.

AU - Fogg, C.

AU - Harper, M.

AU - Higginson, A.

PY - 2020/3/1

Y1 - 2020/3/1

N2 - Introduction: Bowel preservation is paramount in Crohn’s disease surgery as affected patients are typically young adults at risk of having several abdominal surgical procedures during their lifetime. Intraoperative assessment of extent and location of Crohn’s disease is not standardised and is left to a mixture of surgeons ‘experience, tactile feedback, macroscopic appearance and preoperative imaging. The aim of this study was to describe the technical steps of a standardised protocol for intraoperative ultrasound assessment of the small bowel in patients undergoing surgery for ileocolonic Crohn’s Disease.Technique: After laparoscopic mobilisation of the bowel a periumbilical incision is performed for extracorporeal division of the mesentery and the resection and anastomosis. A gastrointestinal consultant radiologist, with expertise in Crohn’s disease imaging and abdominal ultrasound performs the full intraoperative assessment of the small bowel, by applying directly on the bowel a sterile probe, prior to resection being performed by the surgeon. The bowel is assessed through the wound protector with a sterile technique and the length, location and number of segments is documented together with further quantitative assessment using the (MREnterography or ultrasound in Crohn’s disease) METRIC scoring guide.Results: A step by step protocol for intraoperative ultrasound evaluation of the entire small bowel has been described.Conclusions: A standardised approach to intraoperative evaluation of extent and location of Crohn’s disease is desirable. Intraoperative ultrasound may provide added value for assessment of proximal and multifocal Crohn’s disease.

AB - Introduction: Bowel preservation is paramount in Crohn’s disease surgery as affected patients are typically young adults at risk of having several abdominal surgical procedures during their lifetime. Intraoperative assessment of extent and location of Crohn’s disease is not standardised and is left to a mixture of surgeons ‘experience, tactile feedback, macroscopic appearance and preoperative imaging. The aim of this study was to describe the technical steps of a standardised protocol for intraoperative ultrasound assessment of the small bowel in patients undergoing surgery for ileocolonic Crohn’s Disease.Technique: After laparoscopic mobilisation of the bowel a periumbilical incision is performed for extracorporeal division of the mesentery and the resection and anastomosis. A gastrointestinal consultant radiologist, with expertise in Crohn’s disease imaging and abdominal ultrasound performs the full intraoperative assessment of the small bowel, by applying directly on the bowel a sterile probe, prior to resection being performed by the surgeon. The bowel is assessed through the wound protector with a sterile technique and the length, location and number of segments is documented together with further quantitative assessment using the (MREnterography or ultrasound in Crohn’s disease) METRIC scoring guide.Results: A step by step protocol for intraoperative ultrasound evaluation of the entire small bowel has been described.Conclusions: A standardised approach to intraoperative evaluation of extent and location of Crohn’s disease is desirable. Intraoperative ultrasound may provide added value for assessment of proximal and multifocal Crohn’s disease.

KW - Crohn's disease

KW - colorectal surgery

KW - ileocaecal resection

KW - intraoperative ultrasound

KW - small bowel

U2 - 10.1111/codi.14888

DO - 10.1111/codi.14888

M3 - Article

VL - 22

SP - 342

EP - 345

JO - Colorectal Disease

JF - Colorectal Disease

SN - 1462-8910

IS - 3

ER -

ID: 16047991