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Strictureplasty for active Crohn's disease.

Pratik Roy¹, Devinder Kumar

¹Department of Colorectal Surgery, St George's Hospital, London, UK.

International Journal of Colorectal Disease

|September 1, 2005

Summary

Strictureplasty for active Crohn's disease strictures is safe and effective, showing comparable or better outcomes than limited resection. This surgical approach offers favorable intervention-free intervals for patients with active disease.

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Area of Science:

Gastroenterology
Surgical Oncology
Inflammatory Bowel Disease Research

Background:

Strictureplasty is established for fibrotic Crohn's disease strictures.
Limited resection is typically preferred for active disease strictures.
Previous studies on strictureplasty for active disease yielded poor results.

Purpose of the Study:

To evaluate complication and recrudescence rates of strictureplasty in active Crohn's disease.
To determine intervention-free intervals following strictureplasty for active disease.

Main Methods:

Retrospective review of 14 patients with active small bowel Crohn's disease.
Patients underwent strictureplasty alone or combined with limited resection (1996-2004).

Main Results:

73 strictureplasties performed; no operative mortality.
One patient had complications requiring further surgery; three developed recrudescent disease.
High intervention-free rates observed at 41 and 70 months for strictureplasty with or without resection.

Conclusions:

Strictureplasty for active Crohn's disease strictures is well-tolerated.
Recurrence and complication rates are similar or better than limited resection.
Offers favorable long-term outcomes for active disease management.

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