Strictureplasty and intestinal resection: Different options in complicated pediatric-onset Crohn disease

Erminia Romeo, Vincenzo Jasonni, Tamara Caldaro, Arrigo Barabino, Girolamo Mattioli, Stefania Vignola, Giovanni Federici Di Abriola, Paola De Angelis, Alessandro Pane, Filippo Torroni, Francesca Rea, Luigi Dall'Oglio

Research output: Contribution to journalArticlepeer-review

Abstract

Background/Purpose: Surgical resection or strictureplasty (SP) are different options for intestinal Crohn disease (CD) strictures. The aim of this article is evaluation of long-term outcome of SP and resection. Methods: From 1996 to 2011, 39 patients (23 male, 16 female) with symptomatic ileal and ileocolonic CD strictures resistant to medical/nutritional therapy and treated with surgery in 2 different surgical units were reviewed. The mean age at diagnosis was 11.82 years (range, 4-17 years). Mean age at surgery was 15.94 years (range, 4-24 years). Mean follow-up was 6.88 years (range, 0.5-15 years). Patients underwent resection (group A) or different SP techniques (group B). Results: Twenty patients underwent intestinal resection (ileal or ileocolonic resection), and 19 patients underwent SP (jejunal, ileal, or ileocolic). Early postsurgical complications were observed in 2 patients of group A. Follow-up of group A patients revealed that 1 patient needed emergency treatment after 8 months surgery because of adhesions and 1 patient developed recurrence treated with medical therapy. In the follow-up group B, 3 patients experienced disease recurrence, 2 of them at the site of previous surgery. Conclusions: At long-term follow-up, no significant difference in relapsing rate was observed between the 2 groups. Strictureplasty and resection represent an effective treatment of pediatric CD strictures. Strictureplasty could represent the first option for intestinal preservation.

Original languageEnglish
Pages (from-to)944-948
Number of pages5
JournalJournal of Pediatric Surgery
Volume47
Issue number5
DOIs
Publication statusPublished - May 2012

Keywords

  • Crohn disease
  • Stricture
  • Strictureplasty
  • Surgical therapy

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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