Relationship of the Number of Crohn's Strictures and Strictureplasties to Postoperative Recurrence

Strictureplasty in Selected Crohn’s Disease Patients Results in Acceptable Long-term Outcome

“…2,10,11 It is interesting to speculate whether this is due to more severe disease in younger patients. Others have reported that a short duration of disease, the type of STXP, number of strictureplasties, and short interval since previous resections also may affect the likelihood of further surgery, 10,12,13 but that was not found in this study.…”

Safety and efficacy of extractible self-expandable metal stents in the treatment of Crohnʼs disease intestinal strictures: A prospective pilot study

“…The management of strictures is problematic in patients with CD, as conservative therapy is associated with poor outcomes and intestinal surgery leads to an important recurrence risk 3. As an alternative to resection, surgical stricturoplasty maintains the length of the intestine, but is associated with shorter intervals before repeat surgery is needed 7. Several studies of endoscopic balloon dilation of intestinal strictures in patients with CD have suggested that the procedure is effective,10, 11 but long‐term data shows that relapse is common.…”

“…The new therapeutic agents for CD such as immunosuppressant and biological agents are inappropriate for obstructive CD caused by irreversible fibrosis. Fibrotic stenosis is treated with intestinal resection or stricturoplasty, both of which lead to increased morbidity and a risk of recurrent strictures 7. Since repeated bowel resections may result in short bowel syndrome, the quest for bowel‐conserving strategies over the last 25 years has introduced both endoscopic and surgical stricturoplasty in clinical practice 6, 7.…”

“…Fibrotic stenosis is treated with intestinal resection or stricturoplasty, both of which lead to increased morbidity and a risk of recurrent strictures 7. Since repeated bowel resections may result in short bowel syndrome, the quest for bowel‐conserving strategies over the last 25 years has introduced both endoscopic and surgical stricturoplasty in clinical practice 6, 7. For strictures no more than 4–5 cm long, endoscopic balloon dilation has been used to treat CD‐related anastomotic strictures since the 1970s and is effective in the long term in 41%–63% of patients, but half will require repeated dilation to achieve this, and a significant proportion of patients will require surgery 8–13…”

Comparison of Conventional and Nonconventional Strictureplasties in Crohn’s Disease

“…[5][6][7][9][10][11]13,15,18,19 Fourteen studies included patients who underwent conventional strictureplasties only. [20][21][22][23][24][25][26][27][28][29][30][31][32][33] The 8 remaining articles included patients with both conventional and nonconventional strictureplasties. 8,12,14,[34][35][36][37][38] Multiple articles From the Same author or Center There are 4 authors with more than 1 study included in this meta-analysis.…”