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01-01-2012 | Case Report

Side-to-side isoperistaltic strictureplasty for chronic ischemic enteritis: report of a case

Authors: Masayuki Hotokezaka, Ryuichi Mibu, Ryo Maehara, Masao Tanaka, Kazuo Chijiiwa, Minoru Fujino, Minako Hirahashi

Published in: Surgery Today | Issue 1/2012

Abstract

Chronic ischemic enteritis can cause intestinal strictures, but extensive resection of the small intestine may leave patients with short bowel syndrome. Thus, the importance of preserving diseased small bowel is now recognized. We report a case of successful side-to-side isoperistaltic strictureplasty (SSIS), performed to prevent short bowel syndrome, in a patient with ischemic enteritis caused by strangulated intestinal obstruction. SSIS is useful for preserving the intestinal absorptive function in patients with a long narrowed bowel loop caused by ischemic change. To our knowledge, this is the first report of the successful treatment of a long stricture resulting from ischemic enteritis, achieved by performing SSIS.

Fichera A, Hurst RD, Michelassi F. Current methods of bowel-sparing surgery in Crohn’s disease. J Gastroenterol. 2005;40(Suppl 16):40–50.CrossRef

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;179:266–70.PubMedCrossRef

Thompson JS, Langnas AN, Pinch LW, Kaufman S, Quigley EM, Vanderhoof JA. Surgical approach to short-bowel syndrome. Experience in a population of 160 patients. Ann Surg. 1995;222:600–7.PubMed

Michelassi F. Side-to-side isoperistaltic strictureplasty for multiple Crohn’s strictures. Dis Colon Rectum. 1996;39:345–9.PubMedCrossRef

Michelassi F, Hurst RD, Melis M, Rubin M, Cohen R, Gasparitis A, et al. Side-to-side isoperistaltic strictureplasty in extensive Crohn’s disease: a prospective longitudinal study. Ann Surg. 2000;232:401–8.PubMedCrossRef

Michelassi F, Taschieri A, Tonelli F, Sasaki I, Poggioli G, Fazio V, et al. An international, multicenter, prospective, observational study of the side-to-side isoperistaltic strictureplasty in Crohn’s disease. Dis Colon Rectum. 2007;50:277–84.PubMedCrossRef

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;46:127–30.PubMedCrossRef

Sasaki I, Shibata C, Funayama Y, Fukushima K, Takahashi K, Ogawa H, 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;47:940–3.PubMedCrossRef

Hotokezaka M, Ikeda T, Uchiyama S, Hayakawa S, Tsuchiya K, Chijiiwa K. Side-to-side-to-end strictureplasty for Crohn’s disease. Dis Colon Rectum. 2009;52:1882–6.PubMedCrossRef

10.

Wang Q, Hu ZQ, Wang WJ, Zhang J, Wang Y, Ruan CP. Laparoscopic management of recurrent adhesive small-bowel obstruction: long-term follow-up. Surg Today. 2009;39:493–9.PubMedCrossRef

11.

Thompson JS, DiBaise JK, Iyer KR, Yeats M, Sudan DL. Postoperative short bowel syndrome. J Am Coll Surg. 2005;201:85–9.PubMedCrossRef

12.

Jurim O, Shaked A, Rose S, Busuttil R. Volvulus of the Roux-en-Y hepaticojejunostomy. A rare complication manifested by recurrent ascending cholangitis. Int Surg. 1994;79:176–7.PubMed

13.

Taschieri AM, Cristaldi M, Elli M, Danelli PG, Molteni B, Rovati M, et al. Description of new “bowel-sparing” techniques for long strictures of Crohn’s disease. Am J Surg. 1997;173:509–12.PubMedCrossRef

14.

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.PubMedCrossRef

Title: Side-to-side isoperistaltic strictureplasty for chronic ischemic enteritis: report of a case
Authors: Masayuki Hotokezaka
Ryuichi Mibu
Ryo Maehara
Masao Tanaka
Kazuo Chijiiwa
Minoru Fujino
Minako Hirahashi
Publication date: 01-01-2012
Publisher: Springer Japan
Published in: Surgery Today / Issue 1/2012
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-011-0010-y

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Side-to-side isoperistaltic strictureplasty for chronic ischemic enteritis: report of a case

Abstract

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Abstract

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