Long-term results of strictureplasty without synchronous resection for jejunoileal XXXX .

@entity1 @entity292 @entity733 @entity230 @entity30
BACKGROUND: There have been several reports on strictureplasty for @entity30 . However, in most of them the majority of the @entity1 underwent synchronous bowel resections. The efficacy of strictureplasty has been often attributed to the synchronous bowel resection. This study was undertaken to assess the long-term results of strictureplasty alone for jejunoileal @entity30 . METHODS: Forty-three @entity1 who underwent 135 primary strictureplasties without synchronous resection for jejunoileal @entity30 between 1980 and 1997 were reviewed. Factors affecting reoperation rates were examined by using a multivariate analysis. RESULTS: There were no operative deaths. Intra-abdominal septic complications ( @entity733 / @entity292 ) developed in 4 @entity1 (9%). Abdominal symptoms were relieved in all but two @entity1 , who required further surgery within 6 months after operation. After a median follow-up of 9 years 21 @entity1 (49%) required reoperation for small-bowel recurrence. A multivariate analysis using Cox's proportional hazard model showed that only age at operation (<35 years, hazard ratio 11.1 versus >35 years, P = 0.002) was an independent significant factor affecting the reoperation rate. Sex, duration of symptoms, smoking, previous small-bowel resection, @entity230 use, preoperative nutritional status, and site, number, or length of strictureplasties did not affect the reoperation rates. At present all the @entity1 are asymptomatic and receiving neither medical treatment nor nutritional support. CONCLUSIONS: Strictureplasty is a safe and efficacious procedure for jejunoileal @entity30 in the long term. Only youth was an independent significant risk factor for recurrence requiring surgery.
