PURPOSE: As an alternative to resection, strictureplasty may allow for preservation of intestinal length and avoidance of @entity5277 in @entity1 with diffuse @entity30 . However, the long-term durability of the procedure and its safety have not been confirmed. The purpose of this study was to report our experience with strictureplasty for diffuse @entity30 . METHODS: Between 1984 and 1999, 123 @entity1 underwent a laparotomy that included an index strictureplasty for @entity1893 . @entity1 history, operative details, and postoperative morbidities were obtained by chart review. Nineteen @entity1 (15 percent) were receiving total parenteral nutrition for @entity5277 , and 81 (66 percent) were taking chronic @entity230 . Total number of strictureplasties performed was 701 (median, 5/ @entity1 ). Seventy percent of @entity1 underwent a synchronous bowel resection. Follow-up information was determined by personal or phone interviews. Recurrence was defined as the need for reoperation, and risk was calculated by the Kaplan-Meier method. @entity1 with @entity1893 were also compared with 219 @entity1 with limited small-bowel @entity30 undergoing strictureplasty. RESULTS: The overall morbidity rate was 20 percent, with septic complications occurring in 6 percent. The surgical recurrence rate was 29 percent with a median follow-up period of 6.7 (range, 1-16) years. The recurrence rate in @entity1893 @entity1 did not differ from that seen in @entity1 with limited small-bowel @entity30 (P = 0.38). Short duration of disease and short interval since last surgery were significant predictors of accelerated recurrence (P = 0.008 and 0.04, respectively). CONCLUSIONS: Strictureplasty is a safe and durable alternative to resection in diffuse @entity30 . @entity1 with a short duration of disease and short interval since last surgery are at higher risk for accelerated recurrence. @entity1 with @entity1893 do not appear to be at higher risk for recurrence than @entity1 with more limited @entity30 .

Strictureplasty in diffuse XXXX : safe and durable.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient', 'Patient'] @entity230 :: ('MESH:D013256', 'Chemical') :: ['steroids'] @entity1893 :: ('MESH:D008228', 'Disease') :: ['diffuse jejunoileitis'] @entity5277 :: ('MESH:D012778', 'Disease') :: ['short-bowel syndrome'] @entity30 :: ('MESH:D003424', 'Disease') :: ["Crohn's jejunoileitis", "Crohn's disease"]
@entity30 :: (MESH:D003424,Disease) :: ['Crohn's jejunoileitis']
