RT Book, Section
A1 Hunter, John G.
A1 Spight, Donn H.
A1 Sandone, Corinne
A1 Fairman, Jennifer E.
SR Print(0)
ID 1162531492
T1 Ileocecectomy and Stricturoplasty for Small Bowel Enteritis (Crohn’s Disease)
T2 Atlas of Minimally Invasive Surgical Operations
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071449052
LK accesssurgery.mhmedical.com/content.aspx?aid=1162531492
RD 2024/04/23
AB Although  surgical  therapy  cannot  cure  Crohn’s  disease,  it  can  palliate  the  complications  of  regional  enteritis,  including  stricture,  bleeding,  fistula,  abscess,  or  perforation.  Bowel  preservation  is  the  guiding  principle  for  surgical  therapy  of  Crohn’s  disease.  Only  the  grossly  affected  portion  of  the  bowel  should  be  resected.  This  minimizes  the  risk  of  a  “short  gut”  after  multiple  resections,  and  reduces  the  risk  of  malnutrition.  Therefore,  if  one  or  more  short  noninflamed  strictures  were  to  cause  obstruction,  strictureplasty  avoids  any  loss  of  bowel.  This  technique  can  only  be  done  for  fibrotic  strictures,  as  this  reconstruction  will  not  heal  in  the  setting  of  acute  inflammation.  Further,  because  of  a  risk  of  cancer,  the  stricture  should  be  biopsied  prior  to  any  such  reconstruction.