Sigmoid stricture associated with XXXX should be an indication for elective surgery with lymph node clearance.

@entity1 @entity66 @entity5 @entity4436 @entity204 @entity420
BACKGROUND: The literature concerning stricture secondary to @entity4436 is poor. Stricture in this setting should be an indication for surgery because (a) of the potential risk of @entity5 and (b) morbidity is not increased compared to other indications for colectomy. The goal of this report is to study the post-surgical morbidity and the quality of life in @entity1 after sigmoidectomy for sigmoid stricture associated with @entity66 . METHOD: This is a monocenter retrospective observational study including @entity1 with a preoperative diagnosis of sigmoid stricture associated with @entity66 undergoing operation between Jan 1, 2007 and Dec 31, 2013. The GastroIntestinal Quality of Life Index was used to assess @entity1 satisfaction. RESULTS: Sixteen @entity1 were included of which nine were female. Median age was 69.5 (46-84) and the median body mass index was 23.55kg/m(2) (17.2-28.4). Elective sigmoidectomy was performed in all 16 @entity1 . Overall, complications occurred in five @entity1 (31.2%) (4 minor complications and 1 major complication according to the Dindo and Clavien Classification); none resulted in @entity204 . Pathology identified two @entity420 (12.5%). The mean GastroIntestinal Quality of Life Index was 122 (67-144) and 10/11 @entity1 were satisfied with their surgical intervention. CONCLUSION: Sigmoid stricture prevents endoscopic exploration of the entire colon and thus it may prove difficult to rule out a @entity5 . Surgery does not impair the quality of life since morbidity is similar to other indications for sigmoidectomy. For these reasons, we recommend that stricture associated with @entity66 should be an indication for sigmoidectomy including lymph node clearance.
