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Safety and Efficacy of Strictureplasty for Crohn’s Disease: A Systematic Review and Meta-Analysis

W. Donald Buie, M.D., Editor

  • Current Status
  • Published:
Diseases of the Colon & Rectum

Purpose

This study was designed to review safety and efficacy of strictureplasty for Crohn’s disease.

Methods

A literature search was performed to identify studies published between 1975 and 2005 that reported the outcome of strictureplasty. Systematic review was performed on the following subjects separately: 1) overall experience of strictureplasty; 2) postoperative complications; 3) postoperative recurrence and site of recurrence; 4) factors affecting postoperative complications and recurrence; 5) short-bowel syndrome; and 6) cancer risk. Meta-analysis of recurrence rate after strictureplasty was performed by using random-effect model and meta-regressive techniques.

Results

A total of 1,112 patients who underwent 3,259 strictureplasties (Heineke-Mikulicz, 81 percent; Finney, 10 percent; side-to-side isoperistaltic, 5 percent) were identified. The sites of strictureplasty were jejunum and/or ileum (94 percent), previous anastomosis (4 percent), duodenum (1 percent), and colon (1 percent). After jejunoileal strictureplasty, including ileocolonic strictureplasty, septic complications (leak/fistula/abscess) occurred in 4 percent of patients. Overall surgical recurrence was 23 percent (95 percent confidence interval, 17-0 percent). Using meta-regressive analysis, the five-year recurrence rate after strictureplasty was 28 percent. In 90 percent of patients, recurrence occurred at nonstrictureplasty sites, and the site-specific recurrence rate was 3 percent. Two patients developed adenocarcinoma at the site of previous jejunoileal strictureplasty. The experience of duodenal or colonic strictureplasty was limited.

Conclusions

Strictureplasty is a safe and effective procedure for jejunoileal Crohn’s disease, including ileocolonic recurrence, and it has the advantage of protecting against further small bowel loss. However, the place for strictureplasty is less well defined in duodenal and colonic diseases.

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References

  1. Greenstein AJ, Sachar DB, Pasternack BS, Janowitz HD. Reoperation and recurrence in Crohn’s colitis and ileocolitis: crude and cumulative rates. N Engl J Med 1975;293:685-0.

    Article  PubMed  CAS  Google Scholar 

  2. Lock MR, Farmer RG, Fazio VW, Jagelman DG, Lavery IC, Weakley FL. Recurrence and reoperation for Crohn’s disease: the role of disease location in prognosis. N Engl J Med 1981;304:1586-.

    Article  PubMed  CAS  Google Scholar 

  3. Trnka YM, Glotzer DJ, Kasdon EJ, Goldman H, Steer ML, Goldman LD. The long-term outcome of restorative operation in Crohn’s disease: influence of location, prognostic factors and surgical guidelines. Ann Surg 1982;196:345-5.

    Article  PubMed  CAS  Google Scholar 

  4. Lindhagen T, Ekelund G, Leandoer L, Hildell J, Lindstrom C, Wenckert A. Recurrence rate after surgical treatment of Crohn’s disease. Scand J Gastroenterol 1983;18:1037-4.

    Article  PubMed  CAS  Google Scholar 

  5. Whelan G, Farmer RG, Fazio VW, Goormastic M. Recurrence after surgery in Crohn’s disease. Relationship to location of disease (clinical pattern) and surgical indication. Gastroenterology 1985;88:1826-3.

    PubMed  CAS  Google Scholar 

  6. Williams JG, Wong WD, Rothenberger DA, Goldberg SM. Recurrence of Crohn’s disease after resection. Br J Surg 1991;78:10-.

    Article  PubMed  CAS  Google Scholar 

  7. Borley NR, Mortensen NJ, Jewell DP. Preventing postoperative recurrence of Crohn’s disease. Br J Surg 1997;84:1493-02.

    Article  PubMed  CAS  Google Scholar 

  8. Yamamoto T. Factors affecting recurrence after surgery for Crohn’s disease. World J Gastroenterol 2005;11:3971-.

    PubMed  Google Scholar 

  9. Alexander-Williams J. The technique of intestinal strictureplasty. Int J Colorectal Dis 1986;1:54-.

    Article  PubMed  CAS  Google Scholar 

  10. Fazio VW. Conservative surgery for Crohn’s disease of the small bowel: the role of strictureplasty. Med Clin North Am 1990;74:169-1.

    PubMed  CAS  Google Scholar 

  11. Delaney CP, Fazio VW. Crohn’s disease of the small bowel. Surg Clin North Am 2001;81:137-8.

    Article  PubMed  CAS  Google Scholar 

  12. Cima RR, Pemberton JH. Surgical management of inflammatory bowel disease. Curr Treat Options Gastroenterology 2001;4:215-5.

    Article  Google Scholar 

  13. McLeod RS. Surgery for inflammatory bowel diseases. Dig Dis 2003;21:168-9.

    Article  PubMed  Google Scholar 

  14. Roy P, Kumar D. Strictureplasty. Br J Surg 2004;91:1428–37.

    Article  PubMed  CAS  Google Scholar 

  15. Katariya RN, Sood S, Rao PG, Rao PL. Stricure-plasty for tubercular strictures of the gastro-intestinal tract. Br J Surg 1977;64:496-.

    Article  PubMed  CAS  Google Scholar 

  16. Lee EC, Papaioannou N. Minimal surgery for chronic obstruction in patients with extensive or universal Crohn’s disease. Ann R Coll Surg Engl 1982;64:229-3.

    PubMed  CAS  Google Scholar 

  17. Chardavoyne R, Flint GW, Pollack S, Wise L. Factors affecting recurrence following resection for Crohn’s disease. Dis Colon Rectum 1986;29:495–502.

    Article  PubMed  CAS  Google Scholar 

  18. Adolff M, Arnaud JP, Ollier JC. Does the histologic appearance at the margin of resection affect the postoperative recurrence rate in Crohn’s disease? Am Surg 1987;53:543-.

    Google Scholar 

  19. Kotanagi H, Kramer K, Fazio VW, Petras RE. Do microscopic abnormalities at resection margins correlate with increased anastomotic recurrence in Crohn’s disease? Retrospective analysis of 100 cases. Dis Colon Rectum 1991;34:909-6.

    Article  PubMed  CAS  Google Scholar 

  20. Fazio VW, Marchetti F, Church JM, et al. Effect of resection margins on the recurrence of Crohn’s disease in the small bowel: a randomized controlled trial. Ann Surg 1996;224:563-3.

    Article  PubMed  CAS  Google Scholar 

  21. Kendall GP, Hawley PR, Nicholls RJ, Lennard-Jones JE. Strictureplasty. A good operation for small bowel Crohn’s disease? Dis Colon Rectum 1986;29:312-.

    Article  PubMed  CAS  Google Scholar 

  22. Gaetini A, De Simone M, Resegotti A. Our experience with strictureplasty in the surgical treatment of Crohn’s disease. Hepatogastroenterology 1989;36:511-.

    PubMed  CAS  Google Scholar 

  23. Pritchard TJ, Schoetz DJ Jr, Caushaj FP, et al. Strictureplasty of the small bowel in patients with Crohn’s disease. An effective surgical option. Arch Surg 1990;125:715-.

    PubMed  CAS  Google Scholar 

  24. Spencer MP, Nelson H, Wolff BG, Dozois RR. Strictureplasty for obstructive Crohn’s disease: the Mayo experience. Mayo Clin Proc 1994;69:33-.

    PubMed  CAS  Google Scholar 

  25. Oliva L, Wyllie R, Alexander F, et al. The results of strictureplasty in pediatric patients with multifocal Crohn’s disease. J Pediatr Gastroenterol Nutr 1994;18:306-0.

    Article  PubMed  CAS  Google Scholar 

  26. Quandalle P, Gambiez L, Colombel JF, Paris JC, Cortot A. Long-term follow-up of strictureplasty in Crohn’s disease. Acta Gastroenterol Belg 1994;57:314-.

    PubMed  CAS  Google Scholar 

  27. Stebbing JF, Jewell DP, Kettlewell MG, Mortensen NJ, Recurrence and reoperation after strictureplasty for obstructive Crohn’s disease: long-term results [corrected]. Br J Surg 1995;82:1471-. Erratum in. Br J Surg 1996;83:131

    Google Scholar 

  28. Baba S, Nakai K. Strictureplasty for Crohn’s disease in Japan. J Gastroenterol 1995;30(Suppl 8):135-.

    PubMed  Google Scholar 

  29. Serra J, Cohen Z, McLeod RS. Natural history of strictureplasty in Crohn’s disease: 9-year experience. Can J Surg 1995;38:481-.

    PubMed  CAS  Google Scholar 

  30. Poggioli G, Stocchi L, Laureti S, et al. Conservative surgical management of terminal ileitis: side-to-side enterocolic anastomosis. Dis Colon Rectum 1997;40:234-.

    Article  PubMed  CAS  Google Scholar 

  31. Hurst RD, Michelassi F. Strictureplasty for Crohn’s disease: techniques and long-term results. World J Surg 1998;22:359-3.

    Article  PubMed  CAS  Google Scholar 

  32. Yamamoto T, Bain IM, Connolly AB, Allan RN, Keighley MR. Outcome of strictureplasty for duodenal Crohn’s disease. Br J Surg 1999;86:259-2.

    Article  PubMed  CAS  Google Scholar 

  33. Worsey MJ, Hull T, Ryland L, Fazio V. Strictureplasty is an effective option in the operative management of duodenal Crohn’s disease. Dis Colon Rectum 1999; 42:596–600.

    Article  PubMed  CAS  Google Scholar 

  34. Yamamoto T, Bain IM, Allan RN, Keighley MR. An audit of strictureplasty for small-bowel Crohn’s disease. Dis Colon Rectum 1999;42:797–803.

    Article  PubMed  CAS  Google Scholar 

  35. Tonelli F, Ficari F. Strictureplasty in Crohn’s disease: surgical option. Dis Colon Rectum 2000;43:920-.

    Article  PubMed  CAS  Google Scholar 

  36. Dietz DW, Laureti S, Strong SA, et al. Safety and longterm efficacy of strictureplasty in 314 patients with obstructing small bowel Crohn’s disease. J Am Coll Surg 2001;192:330-.

    Article  PubMed  CAS  Google Scholar 

  37. Broering DC, Eisenberger CF, Koch A, et al. Strictureplasty for large bowel stenosis in Crohn’s disease: quality of life after surgical therapy. Int J Colorectal Dis 2001;16:81-.

    Article  PubMed  CAS  Google Scholar 

  38. Laurent S, Detry O, Detroz B, et al. Strictureplasty in Crohn’s disease: short- and long-term follow-up. Acta Chir Belg 2002;102:253-.

    PubMed  CAS  Google Scholar 

  39. Di Abriola GF, De Angelis P, Dall_oglio L, Di Lorenzo M. Strictureplasty: an alternative approach in long segment bowel stenosis Crohn’s disease. J Pediatr Surg 2003;38:814-.

    Article  PubMed  Google Scholar 

  40. Tonelli F, Fedi M, Paroli GM, Fazi M. Indications and results of side-to-side isoperistaltic strictureplasty in Crohn’s disease. Dis Colon Rectum 2004;47:494–501.

    Article  PubMed  Google Scholar 

  41. Sasaki I, Shibata C, Funayama Y, et al. New reconstructive procedure after intestinal resection for Crohn’s disease: modified side-to-side isoperistaltic anastomosis with double Heineke-Mikulicz procedure. Dis Colon Rectum 2004;47:940-.

    Article  PubMed  Google Scholar 

  42. Sampietro GM, Cristaldi M, Maconi G, et al. A prospective, longitudinal study of nonconventional strictureplasty in Crohn’s disease. J Am Coll Surg 2004;199:82.

    Article  Google Scholar 

  43. Futami K, Arima S. Role of strictureplasty in surgical treatment of Crohn’s disease. J Gastroenterol 2005;40(Suppl 16):35-.

    Article  PubMed  Google Scholar 

  44. Pace BW, Bank S, Wise L. Strictureplasty. An alternative in the surgical treatment of Crohn’s disease. Arch Surg 1984;119:861-.

    PubMed  CAS  Google Scholar 

  45. Fazio VW, Galandiuk S. Strictureplasty in diffuse Crohn’s jejunoileitis. Dis Colon Rectum 1985;28:512-.

    Article  PubMed  CAS  Google Scholar 

  46. Whelan PJ, Saibil FG, Harrison AW. New options in the surgical management of Crohn’s disease. Can J Surg 1987;30:133-.

    PubMed  CAS  Google Scholar 

  47. Silverman RE, McLeod RS, Cohen Z. Strictureplasty in Crohn’s disease. Can J Surg 1989;32:19–22.

    PubMed  CAS  Google Scholar 

  48. 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-.

    Article  PubMed  CAS  Google Scholar 

  49. Dehn TC, Kettlewell MG, Mortensen NJ, Lee EC, Jewell DP. Ten-year experience of strictureplasty for obstructive Crohn’s disease. Br J Surg 1989;76:339-1.

    Article  PubMed  CAS  Google Scholar 

  50. Fazio VW, Galandiuk S, Jagelman DG, Lavery IC. Strictureplasty in Crohn’s disease. Ann Surg 1989;210:621-.

    Article  PubMed  CAS  Google Scholar 

  51. Keighley MR. Stapled strictureplasty for Crohn’s disease. Dis Colon Rectum 1991;34:945-.

    Article  PubMed  CAS  Google Scholar 

  52. Sharif H, Alexander-Williams J. Strictureplasty for ileocolic anastomotic strictures in Crohn’s disease. Int J Colorectal Dis 1991;6:214-.

    Article  PubMed  CAS  Google Scholar 

  53. Tjandra JJ, Fazio VW, Lavery IC. Results of multiple strictureplasties in diffuse Crohn’s disease of the small bowel. ANZ J Surg 1993;63:95-.

    Article  CAS  Google Scholar 

  54. Fazio VW, Tjandra JJ, Lavery IC, Church JM, Milsom JW, Oakley JR. Long-term follow-up of strictureplasty in Crohn’s disease. Dis Colon Rectum 1993;36:355 -1.

    Article  PubMed  CAS  Google Scholar 

  55. Tjandra JJ, Fazio VW. Strictureplasty for ileocolic anastomotic strictures in Crohn’s disease. Dis Colon Rectum 1993;36:1099-04.

    Article  PubMed  CAS  Google Scholar 

  56. Tjandra JJ, Fazio VW. Strictureplasty without concomitant resection for small bowel obstruction in Crohn’s disease. Br J Surg 1994;81:561-.

    Article  PubMed  CAS  Google Scholar 

  57. Ozuner G, Fazio VW, Lavery IC, Church JM, Hull TL. How safe is strictureplasty in the management of Crohn’s disease? Am J Surg 1996;171:57–61.

    Article  PubMed  CAS  Google Scholar 

  58. Ozuner G, Fazio VW, Lavery IC, Milsom JW, Strong SA. Reoperative rates for Crohn’s disease following strictureplasty. Long-term analysis. Dis Colon Rectum 1996;39:1199-03.

    Article  PubMed  CAS  Google Scholar 

  59. Yamamoto T, Keighley MR. Long-term results of stricture- plasty without synchronous resection for jejunoileal Crohn’s disease. Scand J Gastroenterol 1999;34:180-.

    Article  PubMed  CAS  Google Scholar 

  60. Yamamoto T, Keighley MR. Long-term results of strictureplasty for ileocolonic anastomotic recurrence in Crohn’s disease. J Gastrointest Surg 1999;3:555-0.

    Article  PubMed  CAS  Google Scholar 

  61. Yamamoto T, Allan RN, Keighley MR. Strategy for surgical management of ileocolonic anastomotic recurrence in Crohn’s disease. World J Surg 1999;23:1055-1.

    Article  PubMed  CAS  Google Scholar 

  62. Yamamoto T, Keighley MR. Factors affecting the incidence of postoperative septic complications and recurrence after strictureplasty for jejunoileal Crohn’s disease. Am J Surg 1999;178:240-.

    Article  PubMed  CAS  Google Scholar 

  63. Sampietro GM, Cristaldi M, Porretta T, Montecamozzo G, Danelli P, Taschieri AM. Early perioperative results and surgical recurrence after strictureplasty and miniresection for complicated Crohn’s disease. Dig Surg 2000;17:261-.

    Article  PubMed  CAS  Google Scholar 

  64. Cristaldi M, Sampietro GM, Danelli PG, Bollani S, Bianchi Porro G, Taschieri AM. Long-term results and multivariate analysis of prognostic factors in 138 consecutive patients operated on for Crohn’s disease using “bowel-sparing-techniques. Am J Surg 2000;179:266-0.

    Article  PubMed  CAS  Google Scholar 

  65. Tichansky D, Cagir B, Yoo E, Marcus SM, Fry RD. Strictureplasty for Crohn’s disease: meta-analysis. Dis Colon Rectum 2000;43:911-.

    Article  PubMed  CAS  Google Scholar 

  66. Yamamoto T, Allan RN, Keighley MR. Long-term outcome of surgical management for diffuse jejunoileal Crohn’s disease. Surgery 2001;129:96–102.

    Article  PubMed  CAS  Google Scholar 

  67. Broering DC, Eisenberger CF, Koch A, Bloechle C, Knoefel WT, Izbicki JR. Quality of life after surgical therapy of small bowel stenosis in Crohn’s disease. Dig Surg 2001;18:124-0.

    Article  PubMed  CAS  Google Scholar 

  68. Borley NR, Mortensen NJ, Chaudry MA, et al. Recurrence after abdominal surgery for Crohn’s disease: relationship to disease site and surgical procedure. Dis Colon Rectum 2002;45:377-3.

    Article  PubMed  Google Scholar 

  69. Dietz DW, Fazio VW, Laureti S, et al. Strictureplasty in diffuse Crohn’s jejunoileitis: safe and durable. Dis Colon Rectum 2002;45:764-0.

    Article  PubMed  Google Scholar 

  70. Stroup DF, Berlin JA, Morton SC, et al. Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis of Observational Studies in Epidemiology (MOOSE) group. JAMA 2000;283:2008-2.

    Article  PubMed  CAS  Google Scholar 

  71. DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials 1986;7:177-8.

    Article  PubMed  CAS  Google Scholar 

  72. Farmer RG, Whelan G, Fazio VW. Long term follow up of patients with Crohn’s disease: relationship between the clinical pattern and prognosis. Gastroenterology 1985;88:1818-5.

    PubMed  CAS  Google Scholar 

  73. Shepherd AF, Allan RN, Dykes RW, Keighley MR, Alexander-Williams J. The surgical treatment of gastroduodenal Crohn’s disease. Ann R Coll Surg Engl 1985;67:382-.

    PubMed  CAS  Google Scholar 

  74. Sandler RS, Golden AL. Epidemiology of Crohn’s disease. J Clin Gastroenterol 1986;8:160-.

    Article  PubMed  CAS  Google Scholar 

  75. Nugent WF, Roy MZ. Duodenal Crohn’s disease: an analysis of 89 cases. Am J Gastroenterol 1989;84:249-4.

    PubMed  CAS  Google Scholar 

  76. Poggioli G, Stocchi L, Laureti S, et al. Duodenal involvement of Crohn’s disease: three different clinicopathologic patterns. Dis Colon Rectum 1997;40:179-3.

    Article  PubMed  CAS  Google Scholar 

  77. Yamamoto T, Allan RN, Keighley MR. An audit of gastroduodenal Crohn disease: clinicopathologic features and management. Scand J Gastroenterol 1999;34:1019-4.

    Article  PubMed  CAS  Google Scholar 

  78. Alexander-Williams J, Haynes IG. Up-to-date management of small-bowel disease. Adv Surg 1987;20:245-4.

    PubMed  CAS  Google Scholar 

  79. Marchetti F, Fazio VW, Ozuner G. Adenocarcinoma arising from a strictureplasty site in Crohn’s disease. Report of a case. Dis Colon Rectum 1996;39:1315-1.

    Article  PubMed  CAS  Google Scholar 

  80. Jaskowiak NT, Michelassi F. Adenocarcinoma at a strictureplasty site in Crohn’s disease: report of a case. Dis Colon Rectum 2001;44:284-.

    Article  PubMed  CAS  Google Scholar 

  81. Michelassi F, Upadhyay GA. Side-to-side isoperistaltic strictureplasty in the treatment of extensive Crohn’s disease. J Surg Res 2004;117:71-.

    Article  PubMed  Google Scholar 

  82. Latchis KS, Rao CS, Colcock BP. The complications of enterocolitis. Am J Surg 1971;121:418-5.

    Article  PubMed  CAS  Google Scholar 

  83. Young S, Smith IS, O’Connor J, Bell JR, Gillespie G. Results of surgery for Crohn’s disease in the Glasgow region, 1961-1970. Br J Surg 1975;62:528-4.

    Article  PubMed  CAS  Google Scholar 

  84. Farmer RG, Hawk WA, Turnbull RB Jr. Indications for surgery in Crohn’s disease: analyses of 500 cases. Gastroenterology 1976;71:245-0.

    PubMed  CAS  Google Scholar 

  85. Post S, Betzler M, Ditfurth Bvon, Schürmann G, Kuppers P, Herfarth C. Risks of intestinal anastomosis in Crohn’s disease. Ann Surg 1991;213:37–42.

    Article  PubMed  CAS  Google Scholar 

  86. Handelsman JC, Fishbein RH, Bayless T, Burbige E. Salvage after anastomotic leak in Crohn’s disease. Utilization of a new, simple diverting ileostomy. Arch Surg 1976;111:1040-.

    PubMed  CAS  Google Scholar 

  87. Allsop JR, Lee EC. Factors which influenced postoperative complications in patients with ulcerative colitis or Crohn’s disease of the colon on corticosteroids. Gut 1978;19:729-4.

    Article  PubMed  CAS  Google Scholar 

  88. Heimann TM, Greenstein AJ, Mechanic L, Aufses AH Jr. Early complications following surgical treatment for Crohn’s disease. Ann Surg 1985;201:494-.

    Article  PubMed  CAS  Google Scholar 

  89. Chevalier JM, Jones DJ, Ratelle R, Frileux P, Tiret E, Parc R. Colectomy and ileorectal anastomosis in patients with Crohn’s disease. Br J Surg 1994;81:1379-1.

    Article  PubMed  CAS  Google Scholar 

  90. Hultén L. Surgical treatment of Crohn’s disease of the small bowel or ileocecum. World J Surg 1988;12:180-.

    Article  PubMed  Google Scholar 

  91. Yamamoto T, Allan RN, Keighley MR. Risk factors for intra-abdominal sepsis after surgery in Crohn’s disease. Dis Colon Rectum 2000;43:1141-.

    Article  PubMed  CAS  Google Scholar 

  92. Ozuner G, Fazio VW. Management of gastrointestinal bleeding after strictureplasty for Crohn’s disease. Dis Colon Rectum 1995;38:297–300.

    Article  PubMed  CAS  Google Scholar 

  93. Gardiner KR, Kettlewell MG, Mortensen NJ. Intestinal haemorrhage after strictureplasty for Crohn’s disease. Int J Colorectal Dis 1996;11:180-.

    Article  PubMed  CAS  Google Scholar 

  94. Post S, Herfarth C, Bohm E, et al. The impact of disease pattern, surgical management, and individual surgeons on the risk for relaparotomy for recurrent Crohn’s disease. Ann Surg 1996;223:253-0.

    Article  PubMed  CAS  Google Scholar 

  95. Shatari T, Clark MA, Yamamoto T, et al. Long strictureplasty is as safe and effective as short stricture plasty in small-bowel Crohn’s disease. Colorectal Dis 2004;6:438-1.

    Article  PubMed  CAS  Google Scholar 

  96. Fazio VW, Tjandra JJ. Strictureplasty for Crohn’s disease with multiple long strictures. Dis Colon Rectum 1993;36:71-.

    Article  PubMed  CAS  Google Scholar 

  97. Michelassi F. Side-to-side isoperistaltic strictureplasty for multiple Crohn’s strictures. Dis Colon Rectum 1996;39:345-.

    Article  PubMed  CAS  Google Scholar 

  98. Taschieri AM, Cristaldi M, Elli M, et al. Description of new “bowel-sparing-techniques for long strictures of Crohn’s disease. Am J Surg 1997;173:509-2.

    Article  PubMed  CAS  Google Scholar 

  99. Michelassi F, Hurst RD, Melis M, et al. Side-to-side isoperistaltic strictureplasty in extensive Crohn’s disease: a prospective longitudinal study. Ann Surg 2000;232:401-.

    Article  PubMed  CAS  Google Scholar 

  100. Poggioli G, Laureti S, Pierangeli F, Ugolini F. A new model of strictureplasty for multiple and long stenoses in Crohn’s ileitis: side-to-side diseased to disease-free anastomosis. Dis Colon Rectum 2003;46:127-0.

    Article  PubMed  CAS  Google Scholar 

  101. Hirata K. Is strictureplasty a safe and efficacious procedure for duodenal Crohn’s disease? J Gastroenterol 2000;35:953-.

    Article  PubMed  CAS  Google Scholar 

  102. Roediger WE, Rigol G, Rae D. Sodium absorption with bacterial fatty acids and bile salts in the proximal and distal colon as a guide to colonic resection. Dis Colon Rectum 1984;27:1–5.

    Article  PubMed  CAS  Google Scholar 

  103. Partridge SK, Hodin RA. Small bowel adenocarcinoma at a strictureplasty site in a patient with Crohn’s disease: report of a case. Dis Colon Rectum 2004;47:778-1.

    Article  PubMed  Google Scholar 

  104. Farmer RG, Hawk WA, Turnbull RB Jr. Clinical patterns in Crohn’s disease: a statistical study of 615 cases. Gastroenterology 1975;68:627-5.

    PubMed  CAS  Google Scholar 

  105. Greenstein AJ, Sachar D, Pucillo A, et al. Cancer in Crohn’s disease after diversionary surgery. A report of seven carcinomas occurring after excluded bowel. Am J Surg 1978;135:86–90.

    Article  PubMed  CAS  Google Scholar 

  106. Hawker PC, Gyde SN, Allan RN. Adenocarcinoma of the small intestine complicating Crohn’s disease. Gut 1982;23:188-3.

    Article  PubMed  CAS  Google Scholar 

  107. Maconi G, Sampietro GM, Cristaldi M, et al. Preoperative characteristics and postoperative behavior of bowel wall on risk of recurrence after conservative surgery in Crohn’s disease. A prospective study. Ann Surg 2001;233:345-2.

    Article  PubMed  CAS  Google Scholar 

  108. Yamamoto T, Umegae S, Kitagawa T, Matsumoto K. Postoperative change of mucosal inflammation at strictureplasty segment in Crohn’s disease: cytokine production and endoscopic and histologic findings. Dis Colon Rectum 2005;48:749-7.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Colorectal Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio, 44195

    Takayuki Yamamoto M.D., Victor W. Fazio M.B., M.S. & Paris P. Tekkis M.D., F.R.C.S.

  2. Inflammatory Bowel Disease Center and Department of Surgery, Yokkaichi Social Insurance Hospital, Yokkaichi, Mie, Japan

    Takayuki Yamamoto M.D.

  3. Department of Biosurgery and Surgical Technology, Imperial College, St. Mary’s Hospital, London, United Kingdom

    Paris P. Tekkis M.D., F.R.C.S.

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  1. Takayuki Yamamoto M.D.
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  2. Victor W. Fazio M.B., M.S.
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  3. Paris P. Tekkis M.D., F.R.C.S.
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Correspondence to Victor W. Fazio M.B., M.S..

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W. Donald Buie, M.D., Editor

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Yamamoto, T., Fazio, V.W. & Tekkis, P.P. Safety and Efficacy of Strictureplasty for Crohn’s Disease: A Systematic Review and Meta-Analysis. Dis Colon Rectum 50, 1968–1986 (2007). https://doi.org/10.1007/s10350-007-0279-5

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