Strictureplasty With a Pedunculated Jejunal Patch in Crohn's Disease of the Duodenum

Authors: Eisenberger, C.F.; Izbicki, J.R.; Broering, D.C.; Bloechle, C.; Steffen, M.; Hosch, S.B.; Broelsch, C.E.

Source: The American Journal of Gastroenterology, Volume 93, Number 2, 1 February 1998 , pp. 267-269(3)

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Abstract:

Surgical treatment for duodenal stenosis caused by Crohn's disease is only indicated in symptomatic duodenal obstruction when conservative treatment has failed. Previously described operative procedures include strictureplasty for short stenoses and bypass or resectional procedures, if duodenal stenosis is extensive. In this case of an extensive duodenal Crohn's stenosis, we performed a strictureplasty of the duodenum with a pedunculated jejunal patch. Thus, duodenal passage could be well preserved, and the patient has remained asymptomatic during a follow-up of more than 9 months.

Document Type: Research article

DOI: http://dx.doi.org/10.1016/S0002-9270(97)00069-5

Affiliations: 1: Departments of Surgery and Internal Medicine, University Hospital-Eppendorf, Hamburg, Germany

Publication date: 1998-02-01