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Clin Colon Rectal Surg 2007; 20(4): 294-302
DOI: 10.1055/s-2007-991028
© Thieme Medical Publishers

Strictureplasty

Sanjay Jobanputra1 , Eric G. Weiss1
  • 1Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida
Further Information

Publication History

Publication Date:
16 October 2007 (online)

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ABSTRACT

Strictureplasty in patients with Crohn's disease is an option in the colorectal surgeon's armamentarium for fibrostenotic obstructive disease. Common types include the Heineke-Mikulicz strictureplasty, Finney strictureplasty, and the side-to-side isoperistaltic strictureplasty. The procedure has potential for significant morbidity; therefore, it should be chosen for the patient carefully. Strictureplasty complements bowel resection in Crohn's disease; it is an excellent procedure to reduce the risk of developing short-bowel syndrome and its associated complications.

KEYWORDS

Crohn's disease - strictureplasty - obstruction

REFERENCES

  • 1 Crohn B B, Ginzburg L, Oppenheimer G D. Regional ileitis: a pathologic and clinical entity.  JAMA. 1984;  251 73-79
    CrossrefPubMedGoogle Scholar
  • 2 Del Gaudio A, Panettiere P, Marchetti L, Accorsi D, Fuzzi N. The impact of genetics on Crohn's disease.  Hepatogastroenterology. 1999;  46 784-789
    PubMedGoogle Scholar
  • 3 Snook J. Are the inflammatory bowel diseases autoimmune disorders?.  Gut. 1990;  31 961-963
    PubMedGoogle Scholar
  • 4 Kirsner J B, Shorter R G. Recent developments in nonspecific inflammatory bowel disease (second of two parts).  N Engl J Med. 1982;  306 837-848
    PubMedGoogle Scholar
  • 5 Nunes G C, Ahlquist R E. Increasing incidence of Crohn's disease.  Am J Surg. 1983;  145 578-581
    CrossrefPubMedGoogle Scholar
  • 6 Ricart E, Panaccione R, Loftus E V, Tremaine W J, Sandborn W J. Infliximab for Crohn's disease in clinical practice at the Mayo Clinic: the first 100 patients.  Am J Gastroenterol. 2001;  96 722-729
    CrossrefPubMedGoogle Scholar
  • 7 Whelan G, Farmer R G, Fazio V W, Goormastic M. Recurrence after surgery in Crohn's disease. Relationship to location of disease (clinical pattern) and surgical indication.  Gastroenterology. 1985;  88 1826-1833
    PubMedGoogle Scholar
  • 8 Roy P, Kumar D. Strictureplasty.  Br J Surg. 2004;  91 1428-1437
    CrossrefPubMedGoogle Scholar
  • 9 Katariya R N, Sood S, Rao P G, Rao P L. Stricture-plasty for tubercular strictures of the gastro-intestinal tract.  Br J Surg. 1977;  64 496-498
    CrossrefPubMedGoogle Scholar
  • 10 Lee E C, Papaioannou N. Minimal surgery for chronic obstruction in patients with extensive or universal Crohn's disease.  Ann R Coll Surg Engl. 1982;  64 229-233
    PubMedGoogle Scholar
  • 11 Erkelens G W, van Deventer S J. Endoscopic treatment of strictures in Crohn's disease.  Best Pract Res Clin Gastroenterol. 2004;  18 201-207
    CrossrefPubMedGoogle Scholar
  • 12 Couckuyt H, Gevers A M, Coremans G et al.. Efficacy and safety of hydrostatic balloon dilation of ileocolonic Crohn's strictures: a prospective longterm analysis.  Gut. 1995;  36 577-580
    CrossrefPubMedGoogle Scholar
  • 13 Michelassi F. Side-to-side isoperistaltic strictureplasty for multiple Crohn's strictures.  Dis Colon Rectum. 1996;  39 345-349
    PubMedGoogle Scholar
  • 14 Strong S A. Bowel-sparing techniques.  Colorectal Dis. 2001;  3(s2) 47-50
    PubMedGoogle Scholar
  • 15 Nugent F W, Roy M A. Duodenal Crohn's disease: an analysis of 89 cases.  Am J Gastroenterol. 1989;  84 249-254
    PubMedGoogle Scholar
  • 16 Murray J J, Schoetz Jr D J, Nugent F W, Coller J A, Veidenheimer M C. Surgical management of Crohn's disease involving the duodenum.  Am J Surg. 1984;  147 58-65
    CrossrefPubMedGoogle Scholar
  • 17 Farmer RG, Hawk WA, Turnbull RB. Crohn's disease of the duodenum (transmural duodenitis): clinical manifestations. Report of 11 cases.  Am J Dig Dis. 1972;  17 191-198
    CrossrefPubMedGoogle Scholar
  • 18 Ross T M, Fazio V W, Farmer R G. Long-term results of surgical treatment for Crohn's disease of the duodenum.  Ann Surg. 1983;  197 399-406
    CrossrefPubMedGoogle Scholar
  • 19 Worsey M J, 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
    PubMedGoogle Scholar
  • 20 Yamamoto T, Bain I M, Connolly A B, Allan R N, Keighley M RB. Outcome of strictureplasty for duodenal Crohn's disease.  Br J Surg. 1999;  86 259-262
    CrossrefPubMedGoogle Scholar
  • 21 Sundaram A, Koutkia P, Apovian C M. Nutritional management of short bowel syndrome in adults.  J Clin Gastroenterol. 2002;  34 207-220
    CrossrefPubMedGoogle Scholar
  • 22 Thompson J S, Langnas A N, Pinch L W, Kaufman S, Quigley E M, Vanderhoof J A. Surgical approach to short-bowel syndrome.  Ann Surg. 1995;  222 600-607
    PubMedGoogle Scholar
  • 23 Fazio V W, Tjandra J J, Lavery I C, Church J M, Milsom J W, Oakley J R. Long-term follow-up of strictureplasty in Crohn's disease.  Dis Colon Rectum. 1993;  36 355-361
    CrossrefPubMedGoogle Scholar
  • 24 Spencer M P, Nelson H, Wolff B G, Dozois R R. Strictureplasty for obstructive Crohn's disease: the Mayo experience.  Mayo Clin Proc. 1994;  69 33-36
    PubMedGoogle Scholar
  • 25 Futami K, Arima S. Role of strictureplasty in surgical treatment of Crohn's disease.  J Gastroenterol. 2005;  40 35-39
    PubMedGoogle Scholar
  • 26 Michelassi F, Hurst R D, Melis M et al.. Side-to-side isoperistaltic strictureplasty in extensive Crohn's disease, a prospective longitudinal study.  Ann Surg. 2000;  232 401-408
    CrossrefPubMedGoogle Scholar
  • 27 Bufo A J, Feldman S, Daniels G A, Lieberman R C. Stapled strictureplasty for Crohn's disease. A new technique.  Dis Colon Rectum. 1995;  38 664-667
    CrossrefPubMedGoogle Scholar
  • 28 Deutsch A A, Stern H S. Stapler strictureplasty for Crohn's disease.  Surg Gynecol Obstet. 1989;  169 458-460
    PubMedGoogle Scholar
  • 29 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;  47 940-943
    CrossrefPubMedGoogle Scholar
  • 30 Serra J, Cohen Z, McLeod R S. Natural history of strictureplasty in Crohn's disease: 9-year experience.  Can J Surg. 1995;  38 481-485
    PubMedGoogle Scholar
  • 31 Yamamoto T, Bain I M, Allan R N, Keighley M R. An audit of strictureplasty for small-bowel Crohn's disease.  Dis Colon Rectum. 1999;  42 797-803
    PubMedGoogle Scholar
  • 32 Hurst R D, Michelassi M D. Strictureplasty for Crohn's disease: techniques and long-term results.  World J Surg. 1998;  22 359-363
    CrossrefPubMedGoogle Scholar
  • 33 Tonelli F, Ficari F. Strictureplasty in Crohn's disease. Surgical option.  Dis Colon Rectum. 2000;  43 920-926
    CrossrefPubMedGoogle Scholar
  • 34 Dietz D W, Laureti S, Strong S A et al.. Safety and longterm efficacy of stricture in 314 patients with obstructing small bowel Crohn's disease.  J Am Coll Surg. 2001;  192 330-337
    CrossrefPubMedGoogle Scholar
  • 35 Futami K, Arima S. Role of strictureplasty in surgical treatment of Crohn's disease.  J Gastroenterol. 2005;  40 35-39
    PubMedGoogle Scholar
  • 36 Fearnhead N S, Chowdhury R, Box B, George B D, Jewell D P, Mortensen N J. Long-term follow-up of strictureplasty for Crohn's disease.  Br J Surg. 2006;  93 475-482
    CrossrefPubMedGoogle Scholar
  • 37 Sayfan J, Wilson D A, Alexander-Williams J. Recurrence after strictureplasty or resection for Crohn's disease.  Br J Surg. 1989;  76 335-338
    CrossrefPubMedGoogle Scholar
  • 38 Tichansky D, Cagir B, Yoo E, Marcus S M, Fry R D. Strictureplasty for Crohn's disease: meta-analysis.  Dis Colon Rectum. 2000;  43 911-918
    CrossrefPubMedGoogle Scholar
  • 39 Rutgeerts P, Geboes K, Vantrappen G et al.. Natural history of recurrent Crohn's disease at the ileocolonic anastomosis after curative surgery.  Gut. 1984;  25 665-672
    CrossrefPubMedGoogle Scholar
  • 40 Tjandra J J, Fazio V W. Strictureplasty for ileocolic anastomotic strictures in Crohn's disease.  Dis Colon Rectum. 1993;  36 1099-1104
    CrossrefPubMedGoogle Scholar
  • 41 Yamamoto T, Keighley M RB. Long-term results of strictureplasty for ileocolonic anastomotic recurrence in Crohn's disease.  J Gastrointest Surg. 1999;  3 555-560
    CrossrefPubMedGoogle Scholar
  • 42 Sharif H, Alexander-Williams J. Strictureplasty for ileo-colic anastomotic strictures in Crohn's disease.  Int J Colorectal Dis. 1991;  6 214-216
    CrossrefPubMedGoogle Scholar
  • 43 Ozuner G, Fazio V W. Management of gastrointestinal bleeding after strictureplasty for Crohn's disease.  Dis Colon Rectum. 1995;  38 297-300
    PubMedGoogle Scholar
  • 44 Marchetti F, Fazio V W, Ozuner G. Adenocarcinoma arising from a strictureplasty site in Crohn's disease: report of a case.  Dis Colon Rectum. 1996;  39 1315-1321
    CrossrefPubMedGoogle Scholar
  • 45 Jaskowiak N T, Michelassi F. Adenocarcinoma at a strictureplasty site in Crohn's disease: report of a case.  Dis Colon Rectum. 2001;  44 284-287
    PubMedGoogle Scholar
  • 46 Menon A M, Mirza A H, Moolla S, Morton D G. Adenocarcinoma of the small bowel arising from a previous strictureplasty for Crohn's disease: report of a case.  Dis Colon Rectum. 2007;  50 257-259
    CrossrefPubMedGoogle Scholar

Eric G WeissM.D. 

Department of Colorectal Surgery, Cleveland Clinic Florida

2950 Cleveland Clinic Blvd., Weston, FL 33331

Email: weisse@ccf.org

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