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

Iwao Sasaki, Yuji Funayama, Hiroo Naito, Kouhei Fukushima, Chikashi Shibata, Seiki Matsuno

Research output: Contribution to journalArticle

26 Citations (Scopus)

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-Mikulicz-type strictureplasty; and 5) interrupted seromuscular sutures. RESULTS: We performed four such 'double Heineke-Mikulicz'-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.

Original languageEnglish
Pages (from-to)342-344
Number of pages3
JournalDiseases of the Colon and Rectum
Volume39
Issue number3
DOIs
Publication statusPublished - 1996 Mar 1

Keywords

  • Crohn's disease
  • Strictureplasty
  • Surgical technique

ASJC Scopus subject areas

  • Gastroenterology

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