2018 Volume 51 Issue 5 Pages 327-334
Purpose: Stricture plasty (SP) is well known to be a suitable surgical option for skip lesion of Crohn disease (CD) to avoid risk of extended bowel resection and short bowel syndrome. However, to the best of our knowledge, there are only a few studies on the long-term outcome of SP. The purpose of this study was to evaluate the long-term outcome and patency rate of SP alone and with concomitant bowel resection. Material and Method: We studied 192 CD patients who underwent SP surgery in our institution up till January 2016. Non-patency of the SP group was defined as re-operated cases caused by anastomotic stenosis of SP. In addition, patency of the SP group was defined as cases in which there was no stenosis of the SP anastomotic site at the time of re-operation. Result: Patients’ characteristics: the male/female ratio was 167:33; median age at time of operation was 34 (16–65) years; classification of initial type of disease was 88 jejunoileitis, ileitis and 112 ileocolitis. Procedure of SP was 456 Heineke-Mikulicz, 31 Jaboulay, 15 Finney, and 1 side-to-side method. Post-operative complications: There was no anastomotic leakage at the SP site. The cumulative 5-year SP patency rate was 91.7%. Conclusion: The SP procedure is safe and the cumulative 5-year patency rate is good. SP should be considered when feasible.
