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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Esophageal Strictures-II: Clinical Features and Management01:26

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Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
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Esophageal Strictures-I: Introduction01:30

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Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
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Updated: Aug 26, 2025

Vessel-sparing Excision and Primary Anastomosis
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Endoscopic Stricturotomy and Strictureplasty.

Udayakumar Navaneethan1, Dennisdhilak Lourdusamy2

  • 1Center for Inflammatory Bowel Disease and Interventional Inflammatory Bowel Disease, Orlando Health Digestive Health Institute, 22 West Underwood Street, Orlando, FL 32806, USA.

Gastrointestinal Endoscopy Clinics of North America
|October 6, 2022
PubMed
Summary

Endoscopic stricturotomy and strictureplasty offer effective, minimally invasive options for managing Crohn's disease strictures, reducing the need for surgery and associated complications.

Keywords:
Crohn’s diseaseInflammatory bowel diseaseStrictureplastyStricturesStricturotomy

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Area of Science:

  • Gastroenterology
  • Minimally Invasive Surgery
  • Inflammatory Bowel Disease Management

Background:

  • Strictures, or luminal narrowing, are common in inflammatory bowel disease (IBD), particularly Crohn's disease (CD), often resulting from chronic inflammation and fibrosis.
  • Historically, surgical resection was the primary treatment for CD strictures, carrying significant morbidity.
  • Recent advancements have introduced endoscopic interventions as less invasive alternatives.

Purpose of the Study:

  • To review the efficacy and safety of endoscopic stricturotomy and strictureplasty for managing strictures in Crohn's disease.
  • To compare these endoscopic techniques with traditional surgical management.

Main Methods:

  • Review of current literature on endoscopic stricturotomy and strictureplasty for CD strictures.
  • Focus on techniques, outcomes, and adverse events associated with these endoscopic procedures.

Main Results:

  • Endoscopic stricturotomy and strictureplasty demonstrate comparable efficacy to surgery for CD strictures.
  • These endoscopic methods offer a minimally invasive approach with a lower rate of major complications like perforation.
  • Immediate bleeding is a potential adverse event, but overall morbidity is reduced compared to surgery.

Conclusions:

  • Endoscopic stricturotomy and strictureplasty are valuable, minimally invasive therapeutic options for Crohn's disease strictures.
  • These techniques can effectively manage CD strictures, potentially avoiding or delaying invasive surgical interventions and their associated risks.