[Dilatation enteroplasty for obstructive Crohn disease. Experience of the University of Montreal].
Multiple small bowel resections for obstructive symptoms caused by Crohn's disease can lead to a short bowel and malabsorption. Preservation of intestinal length is possible by the use of strictureplasty. Between August 1983 and March 1993, ninety strictureplasties were performed in 25 patients. They were 13 males and 12 females with a mean age of 37 years. Fourteen (56%) previously had small bowel resection for Crohn's disease. A mean number of 4.3 strictureplasties per patient were performed. Concomitant resection of bowel with active disease was performed in 18 patients (72%). In this series, no perioperative death occurred and one patient developed an enterocutaneous fistula. The overall complication rate was 8%. Postoperatively, 18 patients (72%) were completely relieved of symptoms, 6 were improved (24%) and one became worst (4%). After a 27 month follow-up period, the symptoms recurred in 13 patients (52%); three had no treatment, 7 had medical treatment and 3 required reoperation (12%). Our results support the safety and the use of strictureplasty for stenotic bowel lesions associated with Crohn's disease.
Montreuil
B
B
Département de Chirurgie, Université de Montréal, Hôpital Saint-Luc, Québec, Canada.
Bernard
D
D
Heppell
J
J
Dubé
S
S
Heyen
F
F
Morgan
S
S
Farkouh
E
E
Wassef
R
R
D000328:Adult; D000368:Aged; D002170:Canada; D003424:Crohn Disease / Q000150:complications / Q000601:surgery*; D004106:Dilatation; D005260:Female; D005500:Follow-Up Studies; D006785:Hospitals, University; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology / Q000601:surgery*; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D007579:Jejunal Diseases / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D019736:Prostheses and Implants; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies
L'entéroplastie d'élargissement pour maladie de Crohn obstructive. Expérience de l'Université de Montréal.