Strıctureplasty In Dıffuse Intestınal Crohn’s Dısease: Report Of A Case

In Crohn’s disease, both medical and surgical treatments are palliative; however, operative therapy can provide effective symptomatic relief for those patients with complications from Crohn’s disease, such as intestinal obstruction due to strictures. Segmental intestinal resection followed by primary anastomosis is the usual surgical technique. As an alternative to segmental resection, stricturoplasties have been the procedures of choice to deal with short bowel syndrome in patients with extensive involvement by the disease such as diffuse jejunoileitis and for those who are at risk for developing short bowel syndrome due to previous resections. Depending on the length of the stricture, the reconstruction can be fashioned in the form of HeinekeMikulicz and/or Finney strictureplasty. Side-to-side isoperistaltic strictureplasty has emerged as a bowel-sparing surgical alternative for the management of longer segments of disease with multiple strictures. We, hereby, aimed to present the treatment of a 21-year-old patient with diffuse intestinal strictures due to Crohn’s disease.