Extended strictureplasty for multiple short skipped strictures of Crohn's disease.
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.
Sasaki
I
I
First Department of Surgery, Toboku University School of Medicine, Sendai, Japan.
Funayama
Y
Y
Naito
H
H
Fukushima
K
K
Shibata
C
C
Matsuno
S
S
D000328:Adult; D003251:Constriction, Pathologic; D003424:Crohn Disease / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D013536:Suture Techniques; D016896:Treatment Outcome