How I Do It: Side-to-Side Isoperistaltic Strictureplasty for Extensive Crohn’s Disease

Maggiori, Léon; Michelassi, Fabrizio

doi:10.1007/s11605-012-1891-9

Cited by 6 publications

(2 citation statements)

References 27 publications

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“…For strictures 10–25 cm in length, the Finney stricturoplasty is appropriate. This involves folding the strictured segment into a U, creating a longitudinal enterotomy and anastomosing the adjacent bowel edges to form a blind pouch [ 4 , 6 , 7 , 8 ]. For strictures >20 cm, entero-enterostomy such as the Michelassi stricturoplasty (described above) may be used.…”

Section: Discussionmentioning

confidence: 99%

Stricturoplasty—a bowel-sparing option for long segment small bowel Crohn's disease

Limmer

Koh

Gilmore

2017

Journal of Surgical Case Reports

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Stricturoplasty is a surgical option for management of severe stricturing Crohn's disease of the small bowel. It avoids the need for small bowel resection and the associated metabolic complications. This report contrasts the indications and technical aspects of two different stricturoplasty techniques. Case 1 describes an extensive Michelassi (side-to-side isoperistaltic) stricturoplasty performed for a 100 cm segment of diseased small bowel in a 45-year-old patient. Case 2 describes the performance of 12 Heineke-Mikulicz stricturoplasties in a 23-year-old patient with multiple short fibrotic strictures.

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Section: Discussionmentioning

confidence: 99%

Stricturoplasty—a bowel-sparing option for long segment small bowel Crohn's disease

Limmer

Koh

Gilmore

2017

Journal of Surgical Case Reports

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“…Finney strictureplasty is used for longer stenosis, up to 10–20 cm: after an antimesenteric longitudinal incision, the opened bowel segment is bent into a U shape and posterior and anterior layers are close with continuous absorbable suture [ 47 ]. Michelassi strictureplasty is indicated for the treatment of multiple strictures, interesting up to 90 cm long bowel segment; in this case, a segment of diseased bowel is anastomosed to a non-affected segment of intestine [ 48 ].…”

Section: Surgical Management and CD Recurrencementioning

confidence: 99%

Pathophysiology of Crohn’s disease inflammation and recurrence

et al. 2020

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Chron’s Disease is a chronic inflammatory intestinal disease, first described at the beginning of the last century. The disease is characterized by the alternation of periods of flares and remissions influenced by a complex pathogenesis in which inflammation plays a key role. Crohn’s disease evolution is mediated by a complex alteration of the inflammatory response which is characterized by alterations of the innate immunity of the intestinal mucosa barrier together with a remodeling of the extracellular matrix through the expression of metalloproteins and increased adhesion molecules expression, such as MAcCAM-1. This reshaped microenvironment enhances leucocytes migration in the sites of inflammation, promoting a TH1 response, through the production of cytokines such as IL-12 and TNF-α. IL-12 itself and IL-23 have been targeted for the medical treatment of CD. Giving the limited success of medical therapies, the treatment of the disease is invariably surgical. This review will highlight the role of inflammation in CD and describe the surgical approaches for the prevention of the almost inevitable recurrence.

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Crohn’s Disease: Surgical Management

Cannon

Fichera

2021

The ASCRS Textbook of Colon and Rectal Surgery

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How I Do It: Side-to-Side Isoperistaltic Strictureplasty for Extensive Crohn’s Disease

Abstract: In this article, we present the surgical technique of the side-to-side isoperistaltic strictureplasty, which is optimal in addressing these specific situations.

Cited by 6 publications

References 27 publications

Stricturoplasty—a bowel-sparing option for long segment small bowel Crohn's disease

Stricturoplasty—a bowel-sparing option for long segment small bowel Crohn's disease

Pathophysiology of Crohn’s disease inflammation and recurrence

Crohn’s Disease: Surgical Management

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