Diffuse small bowel Crohn's disease treated with side-to-side isoperistaltic strictureplasty: Report of two cases and description of a variation of the original technique

Antonio Sommariva, Imerio Angriman, Cesare Ruffolo, Michela Barollo, Davide Francesco D'Amico

Research output: Contribution to journalArticle

Abstract

Diffuse small bowel Crohn's disease is unusual and it is characterized by multiple diseased segments involving the jejunum and ileum. The most frequent indication for surgery is an intestinal obstruction, often complicated by a high grade of malnutrition. The natural history of this clinical form is not well defined and the optimal surgical approach remains controversial. We herein present our surgical policy in two cases of diffuse small bowel Crohn's disease, who were particularly at risk of developing short bowel syndrome. We focused our attention on the use of side-to-side isoperistaltic strictureplasty as described by Michelassi for the treatment of stenoses longer than 20cm. We also propose the application of this technique for the treatment of shorter stenosis cases.

Original languageEnglish
Pages (from-to)642-645
Number of pages4
JournalSurgery Today
Volume32
Issue number7
DOIs
Publication statusPublished - 2002

Keywords

  • Crohn's disease
  • Short bowel syndrome
  • Strictureplasty

ASJC Scopus subject areas

  • Surgery

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