Anyone ever had a Strictureplasty?

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nancerini
Regular Member


Date Joined Mar 2003
Total Posts : 100
   Posted 3/18/2010 10:46 AM (GMT -7)   
Hey all, I had a resection 10yrs ago but the last 5yrs I keep going on and off pred. Doc thinks it might be a stricture from scar tissue. Has anyone ever had a strictureplasty done and how successful would you say it was? nancy

Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 3/18/2010 11:05 AM (GMT -7)   
I have not had a strictureplasty, but the one thing I have heard that if possible, its best to have a stricturplasty as it saves bowel. I have heard that they are highly successful though. Good luck!
Gail*Nanners* Co-Moderator for Crohns Disease & Anxiety/Panic
Crohn's Disease for over 34 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium, Vit D, and Xanax prn. Resections in 2002 & 2005. Also diagnosed w/ Fibromyalgia, Osteoarthritis, & Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

debilitated
Regular Member


Date Joined Jan 2010
Total Posts : 448
   Posted 3/18/2010 11:17 AM (GMT -7)   
I also heard that Crohn's RARELY returns to that area. I think I wll be having that soon instead of a resection. I'd rather have my bowels.
Male, 22. Diagnosed with Crohn's officially since 2001.. Osteoporosis, Generalized Anxiety Disorder, Chronic Anemia.

Medications Used: Remicade, Humira, Cimzia, 6-mp, Pentasa, Flagyl, Prednisone, Zifaxan, Entocort,
TPN (Total Parenteral Nutrition), The whole nine.

Current: Methotrexate Injection, Entocort EC, Vitamin D, Fentanyl 25mcg / 72hrs - Zofran - Folic Acid
Currently On SSDI


Iram
Regular Member


Date Joined Jul 2003
Total Posts : 145
   Posted 3/18/2010 11:31 AM (GMT -7)   
debilitated: how do you know that you need strictureplasty for CD? What diagnosis did they run on you to make this determination (just curious). From what I understand strictureplasty still involves anastomosis, it is more bowel-sparing than other methods.

nancerini
Regular Member


Date Joined Mar 2003
Total Posts : 100
   Posted 3/18/2010 11:43 AM (GMT -7)   
Nope, strictureplasty does not involve removing more bowel. The surgeon makes an incision lengthwise along the narrow area and then stitches it back up crosswise or the other direction. This actually opens up the bowel. I've had a resection in 2000 where they removed 9cm of ileum, where they stitched my remaining ileum and colon together-there is a narrow area. Could be scar tissue, could be inflammation, could be both. If it is scar tissue, they can do a strictureplasty to open the scar tissue up and make it wider.

Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 3/18/2010 12:35 PM (GMT -7)   
Nancy my second resection was because I developed a stricture at the reconnection site. I guess that happens to alot of us.
Gail*Nanners* Co-Moderator for Crohns Disease & Anxiety/Panic
Crohn's Disease for over 34 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium, Vit D, and Xanax prn. Resections in 2002 & 2005. Also diagnosed w/ Fibromyalgia, Osteoarthritis, & Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

randynoguts
Veteran Member


Date Joined Jan 2003
Total Posts : 6050
   Posted 3/18/2010 12:53 PM (GMT -7)   
had one, did not work for me.. blew out 2 days later.. very bad. i think a lot depends on the condition of the bowel at that point, whether it will hold the staples or sutures.. not that i could have another one, but for me i would not. never had a problem with a good ole' resection. ;0)
randynoguts 



     http://www.geocities.com/randynogutsweb/


Escalador
Regular Member


Date Joined Jul 2009
Total Posts : 103
   Posted 3/18/2010 4:23 PM (GMT -7)   
every research paper suggest that a strictureplasty is superior to a resection in terms of recurrence of initial simptoms at the affected spot
3% for a stricureplasty and 28 % for a resection in the first 5 years

here's a good article about surgery in Crohns
http://nyp.org/news/hospital/crohns-surgery.html
 
*activated your link:)*

Post Edited By Moderator (Nanners) : 3/19/2010 7:26:30 AM (GMT-6)


Djin
Regular Member


Date Joined Jan 2010
Total Posts : 265
   Posted 3/19/2010 9:14 AM (GMT -7)   
I had both.

Strictureplasty is usually the first option of surgeons (not for everyone), but it's not always possible. When the narrowing is too long, it's not possible.
 
-------------------------------------------
Diagnosed in nov/94 - Started with Prednisone, followed by Pentasa, entocort, flagyl, Imuran, Cipro, etc.
Blockage - First Surgery 2001 (no ressection)
Severe bleedind - 2003 - Stopped by 60mg of Prednisone
Stricture leading to a ressection in Dec/2008 - Second Surgery
Now on Remicade + 100 mg Imuran + Iron (sort of remission, not sure at all)
 

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