Ten-year experience of strictureplasty for obstructive Crohn's disease.
Strictureplasty is controversial in the management of obstructive Crohn's disease. Only a small proportion of patients undergoing surgery for obstructive Crohn's disease are suitable for strictureplasty. Lesions which are most amenable for this procedure are short, fibrous strictures. Over...
| Main Authors: | , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
1989
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| _version_ | 1797059443775504384 |
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| author | Dehn, T Kettlewell, MG Mortensen, N Lee, E Jewell, D |
| author_facet | Dehn, T Kettlewell, MG Mortensen, N Lee, E Jewell, D |
| author_sort | Dehn, T |
| collection | OXFORD |
| description | Strictureplasty is controversial in the management of obstructive Crohn's disease. Only a small proportion of patients undergoing surgery for obstructive Crohn's disease are suitable for strictureplasty. Lesions which are most amenable for this procedure are short, fibrous strictures. Over a 10-year period 24 patients have undergone 30 operations at which 86 strictureplasties were performed. The median follow-up has been 40 (range 4-112) months. No leaks or fistulae arose from the strictureplasties. The median weight gain 3 months postoperatively was +4.0 kg. Four patients subsequently required a further 13 strictureplasty procedures, between 12 and 36 (median 18) months after the initial operation; all but one of the previous strictureplasties were patent. Thirteen patients have been symptom free following surgery, four have required further medical therapy for recurrent Crohn's disease and three have sustained episodes of self-limiting intestinal colic. Strictureplasty is a safe and effective procedure in selected patients undergoing surgery for obstructive Crohn's disease. |
| first_indexed | 2024-03-06T20:04:20Z |
| format | Journal article |
| id | oxford-uuid:286b4e73-c7c7-4cbb-8231-b09b1242929b |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T20:04:20Z |
| publishDate | 1989 |
| record_format | dspace |
| spelling | oxford-uuid:286b4e73-c7c7-4cbb-8231-b09b1242929b2022-03-26T12:12:46ZTen-year experience of strictureplasty for obstructive Crohn's disease.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:286b4e73-c7c7-4cbb-8231-b09b1242929bEnglishSymplectic Elements at Oxford1989Dehn, TKettlewell, MGMortensen, NLee, EJewell, DStrictureplasty is controversial in the management of obstructive Crohn's disease. Only a small proportion of patients undergoing surgery for obstructive Crohn's disease are suitable for strictureplasty. Lesions which are most amenable for this procedure are short, fibrous strictures. Over a 10-year period 24 patients have undergone 30 operations at which 86 strictureplasties were performed. The median follow-up has been 40 (range 4-112) months. No leaks or fistulae arose from the strictureplasties. The median weight gain 3 months postoperatively was +4.0 kg. Four patients subsequently required a further 13 strictureplasty procedures, between 12 and 36 (median 18) months after the initial operation; all but one of the previous strictureplasties were patent. Thirteen patients have been symptom free following surgery, four have required further medical therapy for recurrent Crohn's disease and three have sustained episodes of self-limiting intestinal colic. Strictureplasty is a safe and effective procedure in selected patients undergoing surgery for obstructive Crohn's disease. |
| spellingShingle | Dehn, T Kettlewell, MG Mortensen, N Lee, E Jewell, D Ten-year experience of strictureplasty for obstructive Crohn's disease. |
| title | Ten-year experience of strictureplasty for obstructive Crohn's disease. |
| title_full | Ten-year experience of strictureplasty for obstructive Crohn's disease. |
| title_fullStr | Ten-year experience of strictureplasty for obstructive Crohn's disease. |
| title_full_unstemmed | Ten-year experience of strictureplasty for obstructive Crohn's disease. |
| title_short | Ten-year experience of strictureplasty for obstructive Crohn's disease. |
| title_sort | ten year experience of strictureplasty for obstructive crohn s disease |
| work_keys_str_mv | AT dehnt tenyearexperienceofstrictureplastyforobstructivecrohnsdisease AT kettlewellmg tenyearexperienceofstrictureplastyforobstructivecrohnsdisease AT mortensenn tenyearexperienceofstrictureplastyforobstructivecrohnsdisease AT leee tenyearexperienceofstrictureplastyforobstructivecrohnsdisease AT jewelld tenyearexperienceofstrictureplastyforobstructivecrohnsdisease |