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PROGRAM
1. Biological agents for IBD: what to know before surgery - Dr. Sara Tavares Nogueira
In this lecture we will discuss the main aspects a surgeon should keep in mind when operating on a Crohn’s disease. (CD) patient.
First, we will discuss the epidemiology and classification of Crohn’s disease. Then, we will focus on the inflammatory changes seen in CD patients, specially in the mesentery, and how it can affect surgical procedures.
In the end, we will review the role of biologic treatment and how it may or may not be related with surgical complications such as bleeding in CD patients.
2. The mesentery in Crohn’s disease: friend or foe? Surgical Issues - Dr. Richard Cohen
Crohn’s disease is a specific disease that needs a special approach and attention in the surgical technique. Dr. Richard Cohen makes an introduction and talks about what are the characteristics found in the mesentery that suffers from this. He uses the help from photos to illustrate them.
Moreover, it is important to know good techniques of approach to treat the patient. However, there are some difficulties that are capable of arising in the mesenter. These difficulties are also explained.
In order to conclude the video, the doctor Richard Cohen gives his answer to the question whether the mesentery in Crohn’s disease is friend or foe; giving also some advices for the surgeons.
3. How to handle difficult mesentery in the BD patient using robotic minimal invasive technique - Dr. Eric M Haas
Not all the interventions that a doctor proceeds are simple. Some patients have complicated situations that need to be treated with precaution.
In order to understand the difference between the cases, it’s important to know which are the characteristics of a normal mesenteric dissection. Also which are the characteristics of a difficult mesentery IBD, as are patients with Crohn’s disease. Moreover, as in many other illnesses or complications, there exist different techniques or procedures to handle it.
However the best way to show how to handle difficult mesentery in the IBD, is with a commented video. There it’s shown a robotic minimally invasive technique, with comments from the Dc. Eric M Haas, with its complications during the procedure and the way of approaching them.
