Fabrizio Michelassi and colleagues from Chicago, USA, report a prospective longitudinal study of a new bowel-sparing procedure in patients with extensive Crohn's disease.
The team from the University of Chicago operated on 469 patients with small bowel Crohn's disease between 1992 and 1999.
Because of partial intestinal obstruction, 21 patients (4.5%) underwent a side-to-side isoperistaltic strictureplasty. Fourteen of the new procedures were performed in the jejunum, 4 in the ileum, and four in the ileo-colon.
The average length of the strictureplasty was 24 cm. The authors estimate that, by avoiding resection, they had preserved an average 17% of the small bowel length.
One patient had a post-op hemorrhage. They left hospital on average after 8 days, on oral feeding.
Follow-up for up to 7.5 years suggests regression of the previously active Crohn's disease.