title: New reconstructive procedure after intestinal resection for Crohn's disease: modified side-to-side isoperistaltic anastomosis with double Heineke-Mikulicz procedure.
abstract: Although side-to-side isoperistaltic anastomosis is a useful strictureplasty technique when long segments of intestinal stenosis complicate Crohn's disease, concerns have been raised regarding disease recurrence adjacent to the anastomosis. We performed side-to-side isoperistaltic anastomosis without spatulated intestinal ends as a method of reconstruction after intestinal resection for Crohn's disease; both intestinal ends were transversely closed like a Heineke-Mikulicz-type strictureplasty. With this procedure, the luminal diameter proximal and distal to the anastomosis became wider than the original diameter of the intestine. This new procedure, which we refer to as the "modified side-to-side isoperistaltic anastomosis with double Heineke-Mikulicz procedure" could become an alternative operation after intestinal resection in persons with Crohn's disease, although long-term outcome analysis is necessary.
authors.affiliation: Department of Surgery, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan, isasaki@gonryo.med.tohoku.ac.jp
authors.forename: Iwao
authors.initials: I
authors.lastname: Sasaki
authors.forename: Chikashi
authors.initials: C
authors.lastname: Shibata
authors.forename: Yuji
authors.initials: Y
authors.lastname: Funayama
authors.forename: Kouhei
authors.initials: K
authors.lastname: Fukushima
authors.forename: Ken-ichi
authors.initials: K
authors.lastname: Takahashi
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Ogawa
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Ueno
authors.forename: Akihiko
authors.initials: A
authors.lastname: Hashimoto
authors.forename: Munenori
authors.initials: M
authors.lastname: Nagao
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Watanabe
authors.forename: Sho
authors.initials: S
authors.lastname: Haneda
authors.forename: Ken-ichi
authors.initials: K
authors.lastname: Shiiba
authors.forename: Toshiki
authors.initials: T
authors.lastname: Rikiyama
authors.forename: Hiroo
authors.initials: H
authors.lastname: Naito
mesh_terms: D000714:Anastomosis, Surgical; D003251:Constriction, Pathologic / Q000601:surgery; D003424:Crohn Disease / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D007422:Intestines / Q000601:surgery*; D008297:Male; D016896:Treatment Outcome