Strictureplasty for short duodenal stenosis in Crohn's disease

Involvement of the gastroduodenum is extremely rare in Crohn's disease. For obstructing duodenal Crohn's disease, bypass procedures have traditionary been selected. However? more recently, strictureplasty has become an accept able surgical option. We treated two Crohn's disease patients with short pr oximal duodenal stenosis, using Finney-type strictureplasty. Their postoper ative courses were uneventful and they have remained asymptomatic during fo llow-up periods of more than 5 years, and 4 months, respectively. Owing to the good clinical results of our two patients, we consider strictureplasty to be indicated for short proximal duodenal stenosis in Crohn's disease.