title: Side-to-side isoperistaltic strictureplasty for chronic ischemic enteritis: report of a case.
abstract: Chronic ischemic enteritis can cause intestinal strictures, but extensive resection of the small intestine may leave patients with short bowel syndrome. Thus, the importance of preserving diseased small bowel is now recognized. We report a case of successful side-to-side isoperistaltic strictureplasty (SSIS), performed to prevent short bowel syndrome, in a patient with ischemic enteritis caused by strangulated intestinal obstruction. SSIS is useful for preserving the intestinal absorptive function in patients with a long narrowed bowel loop caused by ischemic change. To our knowledge, this is the first report of the successful treatment of a long stricture resulting from ischemic enteritis, achieved by performing SSIS.
authors.affiliation: Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. hotoke@med.miyazaki-u.ac.jp
authors.forename: Masayuki
authors.initials: M
authors.lastname: Hotokezaka
authors.forename: Ryuichi
authors.initials: R
authors.lastname: Mibu
authors.forename: Ryo
authors.initials: R
authors.lastname: Maehara
authors.forename: Masao
authors.initials: M
authors.lastname: Tanaka
authors.forename: Kazuo
authors.initials: K
authors.lastname: Chijiiwa
authors.forename: Minoru
authors.initials: M
authors.lastname: Fujino
authors.forename: Minako
authors.initials: M
authors.lastname: Hirahashi
mesh_terms: D000368:Aged; D000713:Anastomosis, Roux-en-Y; D002908:Chronic Disease; D003287:Contrast Media; D004751:Enteritis / Q000601:surgery*; D005471:Fluoroscopy; D006801:Humans; D007415:Intestinal Obstruction / Q000601:surgery*; D007421:Intestine, Small / Q000098:blood supply* / Q000601:surgery*; D007511:Ischemia / Q000601:surgery*; D008297:Male; D012778:Short Bowel Syndrome / Q000517:prevention & control
chemical_list: D003287:Contrast Media
references.citation: Dis Colon Rectum. 2004 Apr;47(4):494-501
references.pmid: 14978615
references.citation: Surg Today. 2009;39(6):493-9
references.pmid: 19468805
references.citation: Am J Surg. 2000 Apr;179(4):266-70
references.pmid: 10875983
references.citation: J Am Coll Surg. 2005 Jul;201(1):85-9
references.pmid: 15978448
references.citation: Int Surg. 1994 Apr-Jun;79(2):176-7
references.pmid: 7928157
references.citation: Am J Surg. 1997 Jun;173(6):509-12
references.pmid: 9207164
references.citation: Dis Colon Rectum. 2003 Jan;46(1):127-30
references.pmid: 12544534
references.citation: Dis Colon Rectum. 1996 Mar;39(3):345-9
references.pmid: 8603560
references.citation: Ann Surg. 2000 Sep;232(3):401-8
references.pmid: 10973390
references.citation: Dis Colon Rectum. 2007 Mar;50(3):277-84
references.pmid: 17245614
references.citation: Dis Colon Rectum. 2004 Jun;47(6):940-3
references.pmid: 15073664
references.citation: Dis Colon Rectum. 2009 Nov;52(11):1882-6
references.pmid: 19966637
references.citation: Ann Surg. 1995 Oct;222(4):600-5; discussion 605-7
references.pmid: 7574938