Document Detail

Extended strictureplasty for multiple short skipped strictures of Crohn's disease.
MedLine Citation:
PMID:  8603559     Owner:  NLM     Status:  MEDLINE    
PURPOSE: We will describe a new procedure for treatment of multiple short strictures involving a short segment of Crohn's disease.
METHODS: This procedure involves the following: 1) stay sutures at the mid portion of the two strictures; 2) an antimesenteric longitudinal enterotomy of 12 cm or more; 3) two or three interrupted transmural sutures in the four lateral portions of the two stenoses; 4) a transverse running suture, according to Heineke-Mikulicz-type strictureplasty; and 5) interrupted seromuscular sutures.
RESULTS: We performed four such "double Heineke-Mikulicz"-type strictureplasties in three patients with Crohn's disease without postoperative complications.
CONCLUSION: This type of double Heineke-Mikulicz-type strictureplasty is suitable for multiple short skipped strictures of Crohn's disease in selected patients.
I Sasaki; Y Funayama; H Naito; K Fukushima; C Shibata; S Matsuno
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Diseases of the colon and rectum     Volume:  39     ISSN:  0012-3706     ISO Abbreviation:  Dis. Colon Rectum     Publication Date:  1996 Mar 
Date Detail:
Created Date:  1996-05-15     Completed Date:  1996-05-15     Revised Date:  2014-07-29    
Medline Journal Info:
Nlm Unique ID:  0372764     Medline TA:  Dis Colon Rectum     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  342-4     Citation Subset:  IM    
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MeSH Terms
Constriction, Pathologic
Crohn Disease / pathology,  surgery*
Follow-Up Studies
Suture Techniques*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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