English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Tools annual

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Presents the access of premium content as premium feature

Premium Content

Global: Zendy Plus annual

Global: Zendy Free Plan

Introduction: According to our studies carried out in agreement with Warren and Sommers' , CD would consist of an intestinal lymphedema caused by the obstruction of the related lymphatic vessels. This would be confirmed by the constant presence of lymphangiectasis, edema and fibrosis of the intestinal wall in the histopathological patterns. For the surgical treatment of CD, it is agreed that the diseased bowel tract must be dissected. However, there is no criteria to macroscopically distinguish a healthy bowel from a diseased one, so we don' t know exactly where to perform surgery. The aim of this study is to establish an objective criteria to recognize the conditions of the intestine performing a correct dissection to reduce the incidence of postoperative recurrence. Material and Methods: We studied 11 pts. (7 men, 4 women, average age 41 yrs.) with a chronic intestinal obstruction, 10 affected by terminal ileitis and 1 with recurrent ileitis. 0.5-1 ml of vital die (Patent Blue V Sodium Guerbet 2.5%) was injected into the intestinal wall, at the terminal ileum level, proceeding in a proximal and distal direction, to establish the site of ileal section. The die stopped in the diseased area, rapidly spreading through the intestinal wall and mesenteric-mesocolon lymphatic vessels where the intestine was healthy. Bowel dissection was performed on both ends where the vital die began to spread freely. Results: The cut edges were normal in 9 cases, while in 2 lymphangiectasis and an increase in the number of lymphatic vessels were observed. Endoscopic controls showed no recurrences in 9 pts. with normal cut edges, at 2 yrs distance. Conclusions: These results, despite the low number of cases, appear to encourage the level at which a bowel dissection be performed and for interpreting CD as an intestinal lymphedema. We propose a multicentric study to gather more cases offering significant statistical results.

P118 INFLIXIMAB AS RESCUE THERAPY IN ACUTE SEVERE UC: A SURVEY OF THE SCOTTISH SOCIETY OF GASTROENTEROLOGY (SSG)