LES PLASTIES INTESTINALES DANS LE TRAITEMENT DES STENOSES DE L'INTESTIN GRELE AU COURS DE LA MALADIE DE CROHN

Translated title of the contribution: Strictureplasty for small bowel stenosis in patients with Crohn's disease

P. Quandalle, L. Gambiez, J. F. Colombel, J. C. Paris, A. Cortot

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Strictureplasty is an alternative to extensive and/or multiple small bowel resections in the surgical treatment of Crohn's disease. We here report a series of 22 patients (12 M-10 F - mean age years: 28). All patients had a nonperforative form of Crohn's disease lasting for a mean of 8 years. Nine out of 22 had had previous intestinal resection. A total of 201 stenosis was identified during peroperative examination (mean per patient: 9). Only tight stenoses (diameter < 2 cms) were treated while others were left untouched (n = 22 in 11 patients). Eighty-three stenoses were treated by short strictureplasty and 24 by long strictureplasty using steel thread. One or several resections were simultaneously performed in 15 patients. Mortality was nil. A post operative abscess without loosened suture was drained. The mean follow-up in the 22 patients was 24 months (3-7 years). Clinical and radiological symptoms of stenosis were relieved after strictureplasty. Clinical recurrence occurred in 5 patients among 12 followed-up more than 2 years. Subsequent surgery was required in 4: in one case haemorragic ulceration developed within a long strictureplasty and in 3 others stenosis developed in plasty areas but also in previously healthy areas. In conclusion, strictureplasty is a short and long-term efficient procedure in the treatment of Crohn's disease stenosis. It allows limiting extensive intestinal resection. A more prolonged follow-up is needed in order to evaluate the rate of long-term recurrence and complications that would limit the interest of this technique.

Translated title of the contributionStrictureplasty for small bowel stenosis in patients with Crohn's disease
Original languageFrench
Pages (from-to)151-156
Number of pages6
JournalGastroenterologie Clinique et Biologique
Volume18
Issue number2
StatePublished - 1994
Externally publishedYes

Keywords

  • Crohn's disease
  • stenosis
  • strictureplasty
  • surgery

Fingerprint

Dive into the research topics of 'Strictureplasty for small bowel stenosis in patients with Crohn's disease'. Together they form a unique fingerprint.

Cite this