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

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Diseases of the Colon & Rectum

Abstract

PURPOSE: We will describe a new procedure for treatment of multiple short strictures involving a short segment of Crohn's disease. METHODS: 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-Mikulicztype strictureplasty; and 5) interrupted seromuscular sutures. RESULTS: We performed four such “double HeinekeMikulicz”-type strictureplasties in three patients with Crohn's disease without postoperative complications. CONCLUSION: This type of double Heineke-Mikulicz-type strictureplasty is suitable for multiple short skipped strictures of Crohn's disease in selected patients.

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References

  1. Sayfan J, Wilson DA, Allan A, Andrews H, Alexander-Williams J. Recurrence after strictureplasty or resection for Crohn's disease. Br J Surg 1989;76:335–8.

    PubMed  Google Scholar 

  2. Lee EC, Papaionnou N. Minimal surgery for obstruction in patients with extensive or universal Crohn's disease. Ann R Coll Surg Engl 1982;64:229–33.

    PubMed  Google Scholar 

  3. Alexander-Williams J. Small bowel Crohn's disease. In: Allan RN, Keighley MR, Alexander-Williams J, Hawkins C, eds. Inflammatory bowel disease. London: Churchill Livingstone, 1990:459–72.

    Google Scholar 

  4. Fazio VW, Tjandra JJ. Strictureplasty for Crohn's disease with multiple long strictures. Dis Colon Rectum 1993; 36:71–2.

    Article  PubMed  Google Scholar 

  5. Michelassi F. Side-to side isoperistaltic strictureplasty for multiple Crohn's stricture. Dis Colon Rectum 1996;39:345–9.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. First Department of Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980, Sendai, Japan

    Iwao Sasaki M.D., Yuji Funayama M.D., Hiroo Naito M.D., Kouhei Fukushima M.D., Chikashi Shibata M.D. & Sciki Matsuno M.D.

Authors
  1. Iwao Sasaki M.D.
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  2. Yuji Funayama M.D.
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  3. Hiroo Naito M.D.
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  4. Kouhei Fukushima M.D.
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  5. Chikashi Shibata M.D.
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  6. Sciki Matsuno M.D.
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Sasaki, I., Funayama, Y., Naito, H. et al. Extended strictureplasty for multiple short skipped strictures of Crohn's disease. Dis Colon Rectum 39, 342–344 (1996). https://doi.org/10.1007/BF02049479

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  • DOI: https://doi.org/10.1007/BF02049479

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