title: Extended strictureplasty for multiple short skipped strictures of Crohn's disease.
abstract: OBJECTIVE
  We will describe a new procedure for treatment of multiple short strictures involving a short segment of Crohn's disease.
  
  
  METHODS
  This procedure involves the following: 1) stay sutures at the mid portion of the two strictures; 2) an antimesenteric longitudinal enterotomy of 12 cm or more; 3) two or three interrupted transmural sutures in the four lateral portions of the two stenoses; 4) a transverse running suture, according to Heineke-Mikulicz-type strictureplasty; and 5) interrupted seromuscular sutures.
  
  
  RESULTS
  We performed four such "double Heineke-Mikulicz"-type strictureplasties in three patients with Crohn's disease without postoperative complications.
  
  
  CONCLUSIONS
  This type of double Heineke-Mikulicz-type strictureplasty is suitable for multiple short skipped strictures of Crohn's disease in selected patients.
authors.affiliation: First Department of Surgery, Toboku University School of Medicine, Sendai, Japan.
authors.forename: I
authors.initials: I
authors.lastname: Sasaki
authors.forename: Y
authors.initials: Y
authors.lastname: Funayama
authors.forename: H
authors.initials: H
authors.lastname: Naito
authors.forename: K
authors.initials: K
authors.lastname: Fukushima
authors.forename: C
authors.initials: C
authors.lastname: Shibata
authors.forename: S
authors.initials: S
authors.lastname: Matsuno
mesh_terms: D000328:Adult; D003251:Constriction, Pathologic; D003424:Crohn Disease / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D013536:Suture Techniques; D016896:Treatment Outcome