Two surgical procedures for strictures at Finney strictureplasty for smallbowel Crohn's disease

In patients with Crohn's disease, long small bowel strictures are sometimes treated by a Finney strictureplasty. Strictures at an entrance and exit of a previous Finney strictureplasty are associated with severe obstructive s ymptoms and sometimes blind loop syndrome. Those strictures are difficult t o manage. We herein introduce two different surgical procedures: one is a c ontinuous T-shaped strictureplasty and the other is anastomosis between the Finney pouch and the divided small bowel. Both procedures immediately reli eved obstructive symptoms and required no major resection of the bowel. Aft er a 2-year follow-up, there has been no recurrence at the previous Finney strictureplasty. Copyright (C) 2000 S. Karger AG. Basel.