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Updated: Jun 20, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Assessment of complications following strictureplasty for small bowel Crohn's Disease
B V M Dasari1, R Maxwell, K R Gardiner
1Colorectal Surgical Unit, Department of Colorectal Surgery, The Royal Victoria Hospital, Belfast Health and Social Services Trust, Grosvenor Road, Belfast BT12 6BA, Northern Ireland, UK.
Background:
Surgical intervention is required in a significant proportion of patients with small bowel Crohn's disease (CD). Strictureplasty is an effective bowel-sparing alternative to resection.
Aim:
The aim of this study is to assess the primary complications of small bowel strictureplasty for CD (bleeding and leakage). Other postoperative complications encountered, postoperative duration of hospital stay, 30-day mortality, and the incidence of reoperative surgery are also discussed.
Methods:
A retrospective review of patients undergoing small bowel strictureplasty at The Royal Hospital between 1992 and 2007 was conducted. Twenty-seven patients underwent 34 laparotomies and 100 strictureplasties.
Results:
There was no procedure-specific morbidity and mortality. Other common complications encountered were ileus (3/34) and surgical site infection (3/34).
Conclusion:
Most of the patients in this study have recurrent diffuse intestinal CD requiring synchronous bowel resection. Strictureplasty is a safe and effective bowel-sparing surgical option in this group of patients.
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