New reconstructive procedure after intestinal resection for Crohn's disease: Modified side-to-side isoperistaltic anastomosis with double Heineke-Mikulicz procedure

Iwao Sasaki, Chikashi Shibata, Yuji Funayama, Kouhei Fukushima, Ken Ichi Takahashi, Hitoshi Ogawa, Tatsuya Ueno, Akihiko Hashimoto, Munenori Nagao, Kazuhiro Watanabe, Sho Haneda, Ken Ichi Shiiba, Toshiki Rikiyama, Hiroo Naito

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Although side-to-side isoperistaltic anastomosis is a useful strictureplasty technique when long segments of intestinal stenosis complicate Crohn's disease, concerns have been raised regarding disease recurrence adjacent to the anastomosis. We performed side-to-side isoperistaltic anastomosis without spatulated intestinal ends as a method of reconstruction after intestinal resection for Crohn's disease; both intestinal ends were transversely closed like a Heineke-Mikulicz-type strictureplasty. With this procedure, the luminal diameter proximal and distal to the anastomosis became wider than the original diameter of the intestine. This new procedure, which we refer to as the "modified side-to-side isoperistaltic anastomosis with double Heineke-Mikulicz procedure" could become an alternative operation after intestinal resection in persons with Crohn's disease, although long-term outcome analysis is necessary.

Original languageEnglish
Pages (from-to)940-943
Number of pages4
JournalDiseases of the Colon and Rectum
Volume47
Issue number6
DOIs
Publication statusPublished - 2004 Jun

Keywords

  • Crohn's disease
  • Side-to-side anastomosis
  • Strictureplasty
  • Surgical technique

ASJC Scopus subject areas

  • Gastroenterology

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    Sasaki, I., Shibata, C., Funayama, Y., Fukushima, K., Takahashi, K. I., Ogawa, H., Ueno, T., Hashimoto, A., Nagao, M., Watanabe, K., Haneda, S., Shiiba, K. I., Rikiyama, T., & Naito, H. (2004). New reconstructive procedure after intestinal resection for Crohn's disease: Modified side-to-side isoperistaltic anastomosis with double Heineke-Mikulicz procedure. Diseases of the Colon and Rectum, 47(6), 940-943. https://doi.org/10.1007/s10350-004-0517-z