Extended strictureplasty for multiple short skipped strictures of Crohn's disease

Diseases of the Colon and Rectum
Iwao SasakiS Matsuno

Abstract

We will describe a new procedure for treatment of multiple short strictures involving a short segment of Crohn's disease. This procedure involves the following: 1) stay sutures at the mid portion of the two strictures; 2) an antimesenteric longitudinal enterotomy of 12 cm or more; 3) two or three interrupted transmural sutures in the four lateral portions of the two stenoses; 4) a transverse running suture, according to Heineke-Mikulicz-type strictureplasty; and 5) interrupted seromuscular sutures. We performed four such "double Heineke-Mikulicz"-type strictureplasties in three patients with Crohn's disease without postoperative complications. This type of double Heineke-Mikulicz-type strictureplasty is suitable for multiple short skipped strictures of Crohn's disease in selected patients.

References

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Citations

Feb 22, 2012·Langenbeck's Archives of Surgery·Virginia Oliva Shaffer, Steven D Wexner
Feb 24, 2004·Diseases of the Colon and Rectum·Francesco TonelliMarilena Fazi
Aug 11, 2007·Diseases of the Colon and Rectum·Scott A StrongUNKNOWN Standards Practice Task Force of The American Society of Colon and Rectal Surgeons
Sep 13, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Ronald AmbeBurt Cagir
Aug 24, 2005·Inflammatory Bowel Diseases·Liliana Bordeianou, Richard A Hodin
Oct 24, 2012·Journal of Gastroenterology·Fumiaki UenoUNKNOWN Guidelines Project Group of the Research Group of Intractable Inflammatory Bowel Disease subsidized by the Ministry of Healt
Feb 1, 2010·Clinical Journal of Gastroenterology·Yuji FunayamaIwao Sasaki
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Mar 17, 2020·Techniques in Coloproctology·G PellinoUNKNOWN Italian Society of Colorectal Surgery SICCR
Feb 26, 2021·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Gianluca M SampietroDiego Foschi

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