Natural history of strictureplasty in XXXX : 9-year experience.

@entity1 @entity254 @entity30 @entity3885
OBJECTIVE: To study the short- and long-term outcomes in @entity1 with @entity30 who have undergone strictureplasty. DESIGN: A retrospective review with a prospective follow-up (mean 54.4 months [range from 4 to 108 months]). SETTING: The Inflammatory Bowel Disease Centre at Mount Sinai Hospital in Toronto. @entity1 : Forty-three @entity1 (29 @entity1 , 14 @entity1 ) who underwent 154 strictureplasties for @entity30 . The mean age of the @entity1 was 32.5 years (range from 17 to 55 years). INTERVENTION: Strictureplasty by either the Heineke-Mikulicz (145 strictureplasties) or the Finney (9 strictureplasties) technique in the duodenum, small intestine and at the site of the previous @entity254 . MAIN OUTCOME MEASURES: Factors studied for symptomatic recurrence included the type of procedure previously performed, the type of strictureplasty, the number of previous operations and the site of the disease. RESULTS: There were no deaths. There was one documented leak. Twenty-six @entity1 remained symptom free during the follow-up period. Fourteen @entity1 required reoperation for progressive @entity3885 . None of the differences in the variables studied was statistically significant when related to the symptomatic recurrence rate. However, only 2 of 11 @entity1 who had strictureplasty as the only procedure have required reoperation. CONCLUSIONS: Strictureplasty is a safe and useful procedure in the management of extensive obstructive @entity30 . Strictureplasty does not seem to alter the natural history of the disease.
