New reconstructive procedure after intestinal resection for Crohn's disease: modified side-to-side isoperistaltic anastomosis with double Heineke-Mikulicz procedure.
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.
Sasaki
Iwao
I
Department of Surgery, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan, isasaki@gonryo.med.tohoku.ac.jp
Shibata
Chikashi
C
Funayama
Yuji
Y
Fukushima
Kouhei
K
Takahashi
Ken-ichi
K
Ogawa
Hitoshi
H
Ueno
Tatsuya
T
Hashimoto
Akihiko
A
Nagao
Munenori
M
Watanabe
Kazuhiro
K
Haneda
Sho
S
Shiiba
Ken-ichi
K
Rikiyama
Toshiki
T
Naito
Hiroo
H
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