- What Is It?
- Why Is It Done?
- How Is It Done?
- When To Avoid
Strictureplasty can be used to treat simple or short strictures. In this procedure, the damaged portion of the intestine is cut open and reshaped. For long and complicated strictures, surgical removal of the affected part of the bowel (resection) should be considered.
What are strictures?
Strictures are narrowed parts in the intestine that often leads to bowel obstruction.
Factors causing strictures are as follows:
- Inflammatory bowel disease such as Crohn's disease
- Previous surgery
What is strictureplasty?
Strictureplasty is a surgical procedure to repair strictures by enlarging the narrowed area without removing any portion of your intestine. Strictureplasty is a well-established treatment for Crohn’s disease.
Strictureplasty is generally a safe procedure and is most effective in treating lower sections of the small intestine called the ileum and jejunum.
Why is strictureplasty done?
Strictureplasty is performed under the following conditions:
- Multiple strictures in the long segment of the bowel
- A previous resection surgery (surgical removal of more than 100 cm of the small bowel)
- Rapid reoccurrence of Crohn’s disease with obstructive symptoms
- Obstructive small bowel strictures without associated sepsis formation
How is strictureplasty performed?
Strictureplasty depends on various factors:
- Length of strictures
- Positioning of strictures within the small intestine
- Number of strictures present
Strictureplasty techniques depend on the length of strictures, which are as follows:
- For short strictures (less than 10 cm in length), the Heineke Miulicz strictureplasty technique is used.
- For medium strictures (10-20 cm in length), the Finney strictureplasty technique is used.
- For long strictures (longer than 20 cm in length), the side-to-side isoperistaltic strictureplasty technique is used.
Heineke Miulicz technique:
- Strictureplasty is performed under general anesthesia or local anesthesia.
- An incision (surgical cut) is made along the bowel that is slightly longer than strictures.
- The incision is transverse (perpendicular) to the stricture length.
- Two stitches are placed at the ends of the opening of strictures.
- The incision is closed using absorbable sutures.
- This causes widening of strictures.
Finney strictureplasty technique:
- The intestine is folded at the stricture site.
- A U-shaped incision is made along strictures without disturbing the adjacent healthy tissues.
- Strictures are sealed by stitching it side-to-side creating a widened passage in the intestine.
Jaboulay (side-to-side isoperistaltic) technique:
- This is done where the opening is too narrow.
- The intestine is folded at the stricture site.
- Two short incisions are made along strictures without disturbing the adjacent healthy tissues.
- In this, a bypass is created around strictures.
How do you treat strictures in Crohn's disease?
Inflammatory bowel disease such as Crohn’s disease can lead to scarring within your intestines. Over time, this can lead to narrow sections in your bowels (strictures). Surgery is needed to widen strictures to remove an obstruction.
Strictureplasty does not involve the removal of any part of the intestine, and hence, it is a bowel-preserving surgery. Strictureplasty reduces the risk of short bowel syndrome, which is usually the complication of resection surgery.
What are the complications of strictureplasty?
As with any surgery, complications are inevitable with strictureplasty. Some uncommon possible complications caused due to strictureplasty are as follows:
- Infection at the surgical incision
- Bowel obstruction
- Bleeding in your bowel
- Fluid leaking from the stitches
- Recurrence of strictures
When should strictureplasty be avoided?
Strictureplasty should be avoided in the following conditions:
- Inflammation, swelling, or hole at the affected site
- Strictures close to a planned surgical site
- Multiple strictures in a short segment of the bowel
- Any stricture with cancerous cells
Health Solutions From Our Sponsors
Top How Do You Treat Small Bowel Narrowing? Related Articles
bisacodylBisacodyl is an over-the-counter (OTC) laxative medication used to treat occasional constipation and irregularity in bowel movement, and for cleansing the colon before colonoscopy. Common side effects of bisacodyl include mild stomach cramps, electrolyte and fluid imbalances, nausea, vomiting, rectal burning, vertigo, and diarrhea. Bisacodyl overdose can cause severe diarrhea and electrolyte imbalance. Avoid chronic use of bisacodyl, which may lead to laxative dependence. Use bisacodyl with caution and only with your doctor's recommendation if pregnant or breastfeeding.
Common Medical Abbreviations & Terms
Doctors, pharmacists, and other health-care professionals use abbreviations, acronyms, and other terminology for instructions and information in regard to a patient's health condition, prescription drugs they are to take, or medical procedures that have been ordered. There is no approved this list of common medical abbreviations, acronyms, and terminology used by doctors and other health- care professionals. You can use this list of medical abbreviations and acronyms written by our doctors the next time you can't understand what is on your prescription package, blood test results, or medical procedure orders. Examples include:
- ANED: Alive no evidence of disease. The patient arrived in the ER alive with no evidence of disease.
- ARF: Acute renal (kidney) failure
- cap: Capsule.
- CPAP: Continuous positive airway pressure. A treatment for sleep apnea.
- DJD: Degenerative joint disease. Another term for osteoarthritis.
- DM: Diabetes mellitus. Type 1 and type 2 diabetes
- HA: Headache
- IBD: Inflammatory bowel disease. A name for two disorders of the gastrointestinal (BI) tract, Crohn's disease and ulcerative colitis
- JT: Joint
- N/V: Nausea or vomiting.
- p.o.: By mouth. From the Latin terminology per os.
- q.i.d.: Four times daily. As in taking a medicine four times daily.
- RA: Rheumatoid arthritis
- SOB: Shortness of breath.
- T: Temperature. Temperature is recorded as part of the physical examination. It is one of the "vital signs."
Crohn's Disease: Symptoms, Causes, DietWhat is Crohn's disease? Get more information on this digestive disorder and how Crohn's can affect your diet. Learn more about tests to diagnose Crohn's disease, as well as treatments for Crohn's.
Crohn's Disease vs. Ulcerative ColitisCrohn's disease and ulcerative colitis are diseases that cause inflammation of part of or the entire digestive tract (GI). Crohn's affects the entire GI tract (from the mouth to the anus), while ulcerative colitis or ulcerative colitis only affects the large and small intestine and ilium. Researchers do not know the exact cause of either disease. About 20% of people with Crohn's disease also have a family member with the disease. Researchers believe that certain factors may play a role in causing UC. Both Crohn's disease and ulcerative colitis are a type of inflammatory bowel disease or IBD. Crohn's disease and ulcerative colitis both have similar symptoms and signs, for example, nausea, loss of appetite, fatigue, weight loss, episodic and/or persistent diarrhea, fever, abdominal pain and cramping, rectal bleeding, bloody stools, joint pain and soreness, eye redness, or pain. Symptoms unique to Crohn’s disease include anemia and skin changes. Symptoms of unique to ulcerative colitis include certain rashes, and an urgency to defecate (have a bowel movement). Doctors diagnose both diseases with similar tests and procedures. While there is no cure for either disease, doctors and other health care professionals can help you treat disease flares, and manage your Crohn's or ulcerative colitis with medication, diet, nutritional supplements, and/or surgery.
docusateDocusate is an over-the-counter (OTC) stool softener used to treat constipation. Common side effects of docusate include excessive bowel activity, diarrhea, abdominal cramping, intestinal obstruction, throat irritation and bitter taste (with syrup/liquid), rash (rare), and rectal bleeding (very rare). Most docusate overdoses are accidental in children, however, overdose may result from overuse by some people in an effort to lose weight. Keep docusate out of reach of children. Consult your doctor before taking docusate if pregnant or breastfeeding.
What Is the Life Expectancy of Someone with Crohn's Disease?Crohn’s disease is a chronic condition that causes inflammation in the gut (digestive tract).Crohn’s disease belongs to a group of conditions known as inflammatory bowel disease (IBD). With appropriate management, patients with Crohn’s disease may expect a normal life expectancy and a good quality of life.
magnesium citrate (Citrate of Magnesia, Citroma)Magnesium citrate (Citrate of Magnesia, Citroma) is an OTC medicine that retains water in the intestines to relieve constipation. A magnesium citrate supplement is used for treating heartburn. Side effects include abdominal cramps, diarrhea, bloating, and an electrolyte imbalance. Dosage depends whether it is an adult or child being treated. Magnesium citrate interacts with some antibiotics. Magnesium citrate (Citrate of Magnesia, Citroma) is an over-the-counter medicine that helps relieve and treat constipation. Magnesium citrate supplements also are used for treating heartburn.
Side effects of magnesium citrate include nausea, vomiting, abdominal cramps, diarrhea, bloating, and an electrolyte imbalance.
Dosage of magnesium citrate depends on a person’s age. Magnesium citrate should not be combined with some antibiotics, for example, doxycycline (Vibramycin), tetracycline, minocycline (Minocin), ciprofloxacin (Cipro), and levofloxacin (Levaquin).
methylcelluloseMethylcellulose is water-insoluble fiber that is used as a bulk-producing laxative to relieve occasional constipation and to maintain regularity of bowel movements. Common side effects of methylcellulose include excessive bowel activity, gas (flatulence), and fecal impaction (if taken with inadequate water). Methylcellulose can cause fecal impaction if taken without sufficient water. Consult your doctor if pregnant or breastfeeding.
MoviPrep (PEG-3350, Sodium Sulfate, SodiumChloride, Potassium Chloride, Sodium Ascorbate)MoviPrep is a prescription bowel prep medication used by adults to clean the colon before a colonoscopy. Serious side effects of MoviPrep include changes in certain blood tests, ulcers of the bowel, bowel problems (ischemic colitis), and serious allergic reactions.
Neomycin SulfateNeomycin Sulfate is an antibiotic used to reduce the risk of infection during surgery of the bowel. Neomycin is also used to reduce the symptoms of hepatic coma. Common side effects of neomycin sulfate include nausea, vomiting, or diarrhea.
What Are the Five Types of Crohn's Disease?The five types of Crohn's disease are ileocolitis, ileitis, gastroduodenal Crohn’s disease, jejunoileitis, Crohn's (granulomatous) colitis. Each have different characteristic symptoms and signs.