Strictureplasty or resection? Optimal approach for fibrostenotic Crohn’s disease

Danilov M.A.; Leontiev A.V.; Abdulatipova Z.M.; Demidova A.A.

doi:https://doi.org/10.17116/hirurgia2022021100

Danilov M.A.

Loginov Moscow Clinical Scientific Center

ORCID: 0000-0001-9439-9873

Leontiev A.V.

Loginov Moscow Clinical Scientific Center

ORCID: 0000-0003-3363-6841

Abdulatipova Z.M.

Loginov Moscow Clinical Scientific Center

Demidova A.A.

Rostov State Medical University of Ministry of Health of the Russian Federation

Strictureplasty or resection? Optimal approach for fibrostenotic Crohn’s disease

Authors:

Danilov M.A., Leontiev A.V., Abdulatipova Z.M., Demidova A.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2022;(2): 100‑103

DOI: 10.17116/hirurgia2022021100

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To cite this article:

Danilov MA, Leontiev AV, Abdulatipova ZM, Demidova AA. Strictureplasty or resection? Optimal approach for fibrostenotic Crohn’s disease. Pirogov Russian Journal of Surgery. 2022;(2):100‑103. (In Russ.)
https://doi.org/10.17116/hirurgia2022021100

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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Abstract:

The indications for surgical intervention in patients with Crohn’s disease (CD) are ineffective therapy and complications of this disease. In case of fibrostenotic CD, strictureplasty or bowel resection are indicated. The indications for organ-sparing surgeries are multiple small bowel lesions, previous surgery for CD and short bowel syndrome. Strictureplasty is not advisable in patients with fistulas, abscesses, bowel perforation and severe hypoalbuminemia due to extremely high risk of anastomotic leakage. Therefore, bowel resection is recommended if strict indications for various types of strictureplasty are absent. This approach is associated with effective maintenance of remission and longer recurrence-free period.

Keywords:

strictureplasty

Crohn’s disease

recurrence

multiple strictures

Authors:

Danilov M.A.

Loginov Moscow Clinical Scientific Center

ORCID: 0000-0001-9439-9873

Leontiev A.V.

Loginov Moscow Clinical Scientific Center

ORCID: 0000-0003-3363-6841

Abdulatipova Z.M.

Loginov Moscow Clinical Scientific Center

Demidova A.A.

Rostov State Medical University of Ministry of Health of the Russian Federation

Received:

27.08.2021

Accepted:

22.10.2021

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References:

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