✦ BOWEL WIDENING

Stricturoplasty

Q: Is stricturoplasty as effective as resection for Crohn's strictures?

For fibrous, short Crohn's strictures without active inflammation, stricturoplasty is equally effective as resection in relieving obstruction - and superior in preserving bowel length. Symptomatic recurrence rates at stricturoplasty sites are low.

Q: Can Crohn's disease recur at a stricturoplasty site?

Symptomatic recurrence at stricturoplasty sites occurs in approximately 10-15% of patients at 5 years - lower than at resection anastomoses. Post-operative biological therapy reduces recurrence risk.

Q: Is stricturoplasty available in Hyderabad for Crohn's disease?

Yes - Dr. Samhitha Reddy performs stricturoplasty at Lux Hospitals, Hyderabad as part of the comprehensive Crohn's disease and IBD surgical programme.

Q: How long is recovery after stricturoplasty?

Hospital stay is 2-4 days. Most patients return to normal activity within 2-3 weeks. Diet is gradually progressed from liquids to normal food over 5-7 days post-operatively.

Widening of a Crohn's stricture without bowel resection - preserving intestinal length and absorptive capacity while relieving obstruction. A key bowel-sparing surgical technique in IBD management at Lux Hospitals, Hyderabad.

No Resection BOWEL PRESERVED

Multiple STRICTURES TREATED

Laparoscopic OR OPEN

IBD SHORT STRICTURES

What is Stricturoplasty?

Stricturoplasty widens a Crohn's stricture surgically without removing any bowel - preserving intestinal length and absorptive capacity. A longitudinal incision is made through the stricture and closed transversally (Heineke-Mikulicz) or as a side-to-side anastomosis (Finney or isoperistaltic) - converting the narrow strictured segment into a wide, patent lumen. Dr. Samhitha Reddy performs stricturoplasty at Lux Hospitals, Hyderabad for Crohn's strictures that are short (<10 cm) and non-malignant - as part of the minimally invasive IBD procedures in Hyderabad programme. Multiple stricturoplasties can be performed simultaneously in the same operation, preserving the maximum bowel length and preventing short bowel syndrome.

Stricturoplasty is indicated for short Crohn's strictures without active inflammation, abscess, or malignant concern. Longer or very inflamed segments require resection. All stricturoplasty sites are biopsied to exclude malignancy.

How the Procedure Works

Stricture Identification

The strictured segment is identified and assessed - length, number, and whether inflammation, fistula, or abscess is present. Short (<10 cm) fibrous strictures are ideal for stricturoplasty.

Longitudinal Incision

A longitudinal incision is made along the antimesenteric border of the stricture - opening the full length of the narrowed segment.

Transverse Closure (Heineke-Mikulicz)

For short strictures (<10 cm), the longitudinal incision is closed transversally - converting a narrow segment into a wide, patent lumen with a single layer of absorbable sutures.

Side-to-Side Anastomosis (Finney/Isoperistaltic)

For longer strictures (10-25 cm), a side-to-side anastomosis technique folds the strictured segment on itself - achieving widening without resection.

Biopsy at All Sites

A biopsy is taken from each stricturoplasty site to exclude malignancy. Multiple stricturoplasties are marked, performed, and biopsied in a systematic sequence.

Outcomes

No ResectionBOWEL PRESERVED

MultipleSTRICTURES TREATED

LaparoscopicOR OPEN

IBDSHORT STRICTURES

Who Needs This Treatment?

→Preserves all bowel length - critical for preventing short bowel syndrome in recurrent Crohn's
→Multiple stricturoplasties performed simultaneously - treating all strictures in one operation
→Relieves obstruction definitively without removing absorptive bowel
→Can be combined with segmental resection for mixed stricturing and penetrating disease
→Reduced risk of nutritional deficiency compared to multiple resections
→Available at Lux Hospitals, Hyderabad as part of the comprehensive IBD surgical care programme

Stricturoplasty is surgery that thinks carefully about the future. Every centimetre of bowel we preserve today is protection against short bowel syndrome in the patient's next operation - and most Crohn's patients will need more than one operation in their lifetime.

— - Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon

Common Questions

Frequently Asked

Is stricturoplasty as effective as resection for Crohn's strictures?+

Can Crohn's disease recur at a stricturoplasty site?+

Is stricturoplasty available in Hyderabad for Crohn's disease?+

How long is recovery after stricturoplasty?+

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