Strictureplasty is well-established as an alternative to surgical treatment for complicated Crohn's disease.
Drs Pratik Roy and Devinder Kumar retrospectively reviewed 26 patients who underwent surgery for small bowel Crohn's disease between 1996 and 2004.
|Strictureplasty is an alternative to limited resection in uncomplicated Crohn's.|
|World Journal of Surgery|
A total of 96 small bowel strictureplasties were performed.
Of the 26 patients, 19 had strictureplasties performed in isolation, while 7 underwent strictureplasty with concomitant limited resection.
The doctors found that there was no operative mortality.
During the median 41-month follow-up, 4 patients developed complications that required further surgery.
At 41 months, 73% of patients undergoing strictureplasty alone and 80% undergoing strictureplasty with concomitant resection were intervention-free.
During follow-up, 4 patients developed further recrudescent disease and required surgery, either strictureplasty, limited resection, or both.
Of these patients, 25% were intervention-free at 41 months.
Drs Roy and Kumar concluded, "Our results show that strictureplasty alone or with concomitant resection can confer intervention-free periods of 41 months or more in 73% of patients".
This suggests that, "Strictureplasty can be utilized as an alternative to limited resection in uncomplicated Crohn's disease".