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Long strictureplasty is as safe and effective as short strictureplasty in small-bowel Crohn's disease
Background For the past 20 years it has been shown that intestinal strictureplasty is safe and effective in the management of short strictureplasty. Long strictureplasty (> 20 cm) may be an alternative to resection in some patients, especially in diffuse disease or after previous extensive resec...
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| Published in: | Colorectal disease 2004-11, Vol.6 (6), p.438-441 |
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| container_title | Colorectal disease |
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| creator | Shatari, T. Clark, M. A. Yamamoto, T. Menon, A. Keh, C. Alexander-Williams, J. Keighley, M. |
| description | Background For the past 20 years it has been shown that intestinal strictureplasty is safe and effective in the management of short strictureplasty. Long strictureplasty (> 20 cm) may be an alternative to resection in some patients, especially in diffuse disease or after previous extensive resections. We reviewed the outcome of long strictureplasty for Crohn's Disease, to examine safety and recurrence rates, compared with conventional short strictureplasty.
Methods Sixty‐two patients have undergone single strictureplasty for jejunoileal Crohn's disease since 1974. Median follow‐up was 121 (range 7–253) months. Twenty‐one operations involved a single long strictureplasty, and 41 operations had a single short strictureplasty.
Results No significant differences were identified between the groups. The postoperative complications in long strictureplasty included 2 abscesses only and after short strictureplasty there was one anastomotic leak and one postoperative abscess. The median hospital stay was 10 days after long strictureplasty and 9 days after short strictureplasty. Three‐, 5‐ and 10‐year disease‐free rates for long and short strictureplasty, respectively, were 3‐year 80.4% and 62.1%; 5‐year 55.2% and 49.8% and 10‐year 49.1% and 33.5% (NS).
Conclusions These data indicate that long strictureplasty is safe and produces equivalent results to conventional (short) strictureplasty. |
| doi_str_mv | 10.1111/j.1463-1318.2004.00664.x |
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Methods Sixty‐two patients have undergone single strictureplasty for jejunoileal Crohn's disease since 1974. Median follow‐up was 121 (range 7–253) months. Twenty‐one operations involved a single long strictureplasty, and 41 operations had a single short strictureplasty.
Results No significant differences were identified between the groups. The postoperative complications in long strictureplasty included 2 abscesses only and after short strictureplasty there was one anastomotic leak and one postoperative abscess. The median hospital stay was 10 days after long strictureplasty and 9 days after short strictureplasty. Three‐, 5‐ and 10‐year disease‐free rates for long and short strictureplasty, respectively, were 3‐year 80.4% and 62.1%; 5‐year 55.2% and 49.8% and 10‐year 49.1% and 33.5% (NS).
Conclusions These data indicate that long strictureplasty is safe and produces equivalent results to conventional (short) strictureplasty.</description><identifier>ISSN: 1462-8910</identifier><identifier>EISSN: 1463-1318</identifier><identifier>DOI: 10.1111/j.1463-1318.2004.00664.x</identifier><identifier>PMID: 15521932</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Child ; Cohort Studies ; Crohn Disease - complications ; Crohn Disease - surgery ; Crohn's Disease ; Digestive System Surgical Procedures - methods ; Female ; Follow-Up Studies ; Humans ; Intestinal Obstruction - etiology ; Intestinal Obstruction - surgery ; Intestine, Small - pathology ; Intestine, Small - surgery ; Laparotomy - methods ; Long strictureplasty ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures - methods ; Probability ; Recurrence ; Reoperation - statistics & numerical data ; Retrospective Studies ; Risk Assessment ; Severity of Illness Index ; small intestine ; Statistics, Nonparametric ; Time Factors ; Treatment Outcome</subject><ispartof>Colorectal disease, 2004-11, Vol.6 (6), p.438-441</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3184-be14a6450dc02a7133c41a908e988049e457df47872c457b092a69e10837ac683</citedby><cites>FETCH-LOGICAL-c3184-be14a6450dc02a7133c41a908e988049e457df47872c457b092a69e10837ac683</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1463-1318.2004.00664.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1463-1318.2004.00664.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,786,790,27957,27958,50923,51032</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15521932$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shatari, T.</creatorcontrib><creatorcontrib>Clark, M. A.</creatorcontrib><creatorcontrib>Yamamoto, T.</creatorcontrib><creatorcontrib>Menon, A.</creatorcontrib><creatorcontrib>Keh, C.</creatorcontrib><creatorcontrib>Alexander-Williams, J.</creatorcontrib><creatorcontrib>Keighley, M.</creatorcontrib><title>Long strictureplasty is as safe and effective as short strictureplasty in small-bowel Crohn's disease</title><title>Colorectal disease</title><addtitle>Colorectal Dis</addtitle><description>Background For the past 20 years it has been shown that intestinal strictureplasty is safe and effective in the management of short strictureplasty. Long strictureplasty (> 20 cm) may be an alternative to resection in some patients, especially in diffuse disease or after previous extensive resections. We reviewed the outcome of long strictureplasty for Crohn's Disease, to examine safety and recurrence rates, compared with conventional short strictureplasty.
Methods Sixty‐two patients have undergone single strictureplasty for jejunoileal Crohn's disease since 1974. Median follow‐up was 121 (range 7–253) months. Twenty‐one operations involved a single long strictureplasty, and 41 operations had a single short strictureplasty.
Results No significant differences were identified between the groups. The postoperative complications in long strictureplasty included 2 abscesses only and after short strictureplasty there was one anastomotic leak and one postoperative abscess. The median hospital stay was 10 days after long strictureplasty and 9 days after short strictureplasty. Three‐, 5‐ and 10‐year disease‐free rates for long and short strictureplasty, respectively, were 3‐year 80.4% and 62.1%; 5‐year 55.2% and 49.8% and 10‐year 49.1% and 33.5% (NS).
Conclusions These data indicate that long strictureplasty is safe and produces equivalent results to conventional (short) strictureplasty.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Child</subject><subject>Cohort Studies</subject><subject>Crohn Disease - complications</subject><subject>Crohn Disease - surgery</subject><subject>Crohn's Disease</subject><subject>Digestive System Surgical Procedures - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Intestinal Obstruction - etiology</subject><subject>Intestinal Obstruction - surgery</subject><subject>Intestine, Small - pathology</subject><subject>Intestine, Small - surgery</subject><subject>Laparotomy - methods</subject><subject>Long strictureplasty</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Probability</subject><subject>Recurrence</subject><subject>Reoperation - statistics & numerical data</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Severity of Illness Index</subject><subject>small intestine</subject><subject>Statistics, Nonparametric</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>1462-8910</issn><issn>1463-1318</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><recordid>eNqNkE1v1DAQhi0EoqXwF5BPcEoYx44_DhzQFkrRquUAQuJieZ0JzZJNFk-W7v57vB8qBy744pH9PjOjhzEuoBT5vFmWQmlZCClsWQGoEkBrVW4fsfOHj8eHuiqsE3DGnhEtAYQ2wj5lZ6KuK-Fkdc5wPg4_OE2pi9Mm4boPNO14RzwQp9AiD0PDsW0xTt1vPLzejWn6lxg4rULfF4vxHns-S-Pd8Jp40xEGwufsSRt6when-4J9_fD-y-xjMb-9up69mxcxL6yKBQoVtKqhiVAFI6SMSgQHFp21oByq2jStMtZUMZcLcFXQDgVYaULUVl6wV8e-6zT-2iBNftVRxL4PA44b8tqA1MZBDtpjMKaRKGHr16lbhbTzAvxesV_6vUm_N-n3iv1Bsd9m9OVpxmaxwuYveHKaA2-Pgfuux91_N_az28vrXGW-OPIdTbh94EP6mfeXpvbfbq68dJ9utP7-2V_KP3vYmT4</recordid><startdate>200411</startdate><enddate>200411</enddate><creator>Shatari, T.</creator><creator>Clark, M. A.</creator><creator>Yamamoto, T.</creator><creator>Menon, A.</creator><creator>Keh, C.</creator><creator>Alexander-Williams, J.</creator><creator>Keighley, M.</creator><general>Blackwell Science Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200411</creationdate><title>Long strictureplasty is as safe and effective as short strictureplasty in small-bowel Crohn's disease</title><author>Shatari, T. ; Clark, M. A. ; Yamamoto, T. ; Menon, A. ; Keh, C. ; Alexander-Williams, J. ; Keighley, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3184-be14a6450dc02a7133c41a908e988049e457df47872c457b092a69e10837ac683</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Child</topic><topic>Cohort Studies</topic><topic>Crohn Disease - complications</topic><topic>Crohn Disease - surgery</topic><topic>Crohn's Disease</topic><topic>Digestive System Surgical Procedures - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Intestinal Obstruction - etiology</topic><topic>Intestinal Obstruction - surgery</topic><topic>Intestine, Small - pathology</topic><topic>Intestine, Small - surgery</topic><topic>Laparotomy - methods</topic><topic>Long strictureplasty</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Probability</topic><topic>Recurrence</topic><topic>Reoperation - statistics & numerical data</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Severity of Illness Index</topic><topic>small intestine</topic><topic>Statistics, Nonparametric</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shatari, T.</creatorcontrib><creatorcontrib>Clark, M. A.</creatorcontrib><creatorcontrib>Yamamoto, T.</creatorcontrib><creatorcontrib>Menon, A.</creatorcontrib><creatorcontrib>Keh, C.</creatorcontrib><creatorcontrib>Alexander-Williams, J.</creatorcontrib><creatorcontrib>Keighley, M.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Colorectal disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shatari, T.</au><au>Clark, M. A.</au><au>Yamamoto, T.</au><au>Menon, A.</au><au>Keh, C.</au><au>Alexander-Williams, J.</au><au>Keighley, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long strictureplasty is as safe and effective as short strictureplasty in small-bowel Crohn's disease</atitle><jtitle>Colorectal disease</jtitle><addtitle>Colorectal Dis</addtitle><date>2004-11</date><risdate>2004</risdate><volume>6</volume><issue>6</issue><spage>438</spage><epage>441</epage><pages>438-441</pages><issn>1462-8910</issn><eissn>1463-1318</eissn><notes>ark:/67375/WNG-39JN66ZP-D</notes><notes>istex:CB1DFC40557DB355044AAEC9BCC6B8FA2DB28A02</notes><notes>ArticleID:CODI664</notes><notes>This work has been presented at the 2003 Annual Scientific Congress of the Royal Australasian College of Surgeons; the 9th Biennial Congress of the European Council of Coloproctology (2003); and the 2003 Annual Scientific Meeting of the Association of Coloproctologists of Great Britain and Northern Ireland.</notes><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Background For the past 20 years it has been shown that intestinal strictureplasty is safe and effective in the management of short strictureplasty. Long strictureplasty (> 20 cm) may be an alternative to resection in some patients, especially in diffuse disease or after previous extensive resections. We reviewed the outcome of long strictureplasty for Crohn's Disease, to examine safety and recurrence rates, compared with conventional short strictureplasty.
Methods Sixty‐two patients have undergone single strictureplasty for jejunoileal Crohn's disease since 1974. Median follow‐up was 121 (range 7–253) months. Twenty‐one operations involved a single long strictureplasty, and 41 operations had a single short strictureplasty.
Results No significant differences were identified between the groups. The postoperative complications in long strictureplasty included 2 abscesses only and after short strictureplasty there was one anastomotic leak and one postoperative abscess. The median hospital stay was 10 days after long strictureplasty and 9 days after short strictureplasty. Three‐, 5‐ and 10‐year disease‐free rates for long and short strictureplasty, respectively, were 3‐year 80.4% and 62.1%; 5‐year 55.2% and 49.8% and 10‐year 49.1% and 33.5% (NS).
Conclusions These data indicate that long strictureplasty is safe and produces equivalent results to conventional (short) strictureplasty.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>15521932</pmid><doi>10.1111/j.1463-1318.2004.00664.x</doi><tpages>4</tpages></addata></record> |
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| identifier | ISSN: 1462-8910 |
| ispartof | Colorectal disease, 2004-11, Vol.6 (6), p.438-441 |
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| language | eng |
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| source | Wiley-Blackwell Journals |
| subjects | Adolescent Adult Aged Child Cohort Studies Crohn Disease - complications Crohn Disease - surgery Crohn's Disease Digestive System Surgical Procedures - methods Female Follow-Up Studies Humans Intestinal Obstruction - etiology Intestinal Obstruction - surgery Intestine, Small - pathology Intestine, Small - surgery Laparotomy - methods Long strictureplasty Male Middle Aged Minimally Invasive Surgical Procedures - methods Probability Recurrence Reoperation - statistics & numerical data Retrospective Studies Risk Assessment Severity of Illness Index small intestine Statistics, Nonparametric Time Factors Treatment Outcome |
| title | Long strictureplasty is as safe and effective as short strictureplasty in small-bowel Crohn's disease |
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