{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T15:56:33Z","timestamp":1770134193413,"version":"3.49.0"},"reference-count":0,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T00:00:00Z","timestamp":1760400000000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This video presents a case involving complex inflammatory bowel disease (IBD) with fistulation of the terminal ileum and sigmoid colon. We aim to discuss an overview of the decision\u2010making involved in the pre\u2010operative, intra\u2010operative and post\u2010operative stages, while highlighting the benefits of utilising a robotic platform.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A 29\u2010year\u2010old patient with Crohn's disease underwent a robotic ileo\u2010colic resection without anastomosis and double barrel ileostomy formation. A multidisciplinary approach was taken with regard to surgical planning. Pre\u2010operative dietician and gastroenterology input optimised nutritional status and continued biologic therapy. Involvement with radiology was key; an MRI for surgical planning was reviewed in combination with the radiologist to determine the nature of the disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The intra\u2010operative video discusses factors pertaining to robotic surgery, including port placement and extraction site planning. The salient intra\u2010operative stages are highlighted, and nuances of IBD\u2010specific robotic techniques are discussed. The importance of pre\u2010 and intra\u2010operative factors in IBD surgery is explored; biologic and steroid use, nutritional status, exclusive enteral nutrition, consideration for fistulating disease and adapting ports to stoma and extraction sites. Post\u2010operative surveillance is discussed, including current practice with tattooing and severity scores, in addition to ongoing research utilising artificial intelligence to improve the ability to detect recurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This video presents a case of an ileo\u2010sigmoid fistula related to Crohn's disease. Optimisation strategies for the pre\u2010operative, intra\u2010operative and post\u2010operative phases are discussed. The benefits of a robotic platform with respect to the challenges of IBD surgery are demonstrated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.70265","type":"journal-article","created":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T06:40:02Z","timestamp":1760510402000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A case of fistulating disease involving the terminal ileum and sigmoid colon\u2014A video vignette"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5686-8595","authenticated-orcid":false,"given":"Gita","family":"Lingam","sequence":"first","affiliation":[{"name":"St Mark's Hospital and Academic Institute  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taner","family":"Shakir","sequence":"additional","affiliation":[{"name":"University College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katie","family":"Devlin","sequence":"additional","affiliation":[{"name":"St Mark's Hospital and Academic Institute  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirsten","family":"de Burlet","sequence":"additional","affiliation":[{"name":"St Mark's Hospital and Academic Institute  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Stravodimos","sequence":"additional","affiliation":[{"name":"St Mark's Hospital and Academic Institute  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phil","family":"Tozer","sequence":"additional","affiliation":[{"name":"St Mark's Hospital and Academic Institute  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Wilson","sequence":"additional","affiliation":[{"name":"St Mark's Hospital and Academic Institute  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stamatia","family":"Giannarou","sequence":"additional","affiliation":[{"name":"Imperial College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nader","family":"Francis","sequence":"additional","affiliation":[{"name":"University College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kapil","family":"Sahnan","sequence":"additional","affiliation":[{"name":"St Mark's Hospital and Academic Institute  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,14]]},"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.70265","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/codi.70265","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.70265","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T05:41:29Z","timestamp":1770097289000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.70265"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":0,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1111\/codi.70265"],"URL":"https:\/\/doi.org\/10.1111\/codi.70265","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"2025-07-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70265"}}