Maggiori L, Michelassi F. How I do it: Side-to-side isoperistaltic strictureplasty for extensive Crohn's disease.
J Gastrointest Surg 2012;
16:1976-80. [PMID:
22539032 DOI:
10.1007/s11605-012-1891-9]
[Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/05/2012] [Accepted: 04/10/2012] [Indexed: 01/31/2023]
Abstract
INTRODUCTION
Bowel-sparing surgical techniques, such as the Heineke-Mikulicz and the Finney strictureplasty, have been proposed as an alternative to lengthy intestinal resection in the treatment of small bowel strictures in Crohn's disease. However, these conventional strictureplasty techniques lend themselves poorly to cases of multiple short strictures closely clustered over a lengthy small bowel segment.
DISCUSSION
In this article, we present the surgical technique of the side-to-side isoperistaltic strictureplasty, which is optimal in addressing these specific situations.
Collapse