Strictureplasty

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dorri
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   Posted 4/11/2010 7:59 PM (GMT -7)   
Has anyone had?  Is it suitable for removal of scar tissue?   Is scar tissue the same as strictures? What's the down time on this one?  How about incisions, recovery time etc?  Need more information.  Thanks


Nanners
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Total Posts : 14995
   Posted 4/12/2010 6:38 AM (GMT -7)   
If you have a stricture and it is made up of scar tissue, then generally you will need surgery to remove them as medications in most cases will not heal it. But if it is a mixture of inflammation and scar tissue then meds might help. Have you had testing done to show that you have a stricture made up of scar tissue in your intestinal tract?

Also, the incisions and recovery time depend on if you have had previous abdominal surgeries. On my first resection they attempted to start it doing it via lap, but once they saw inside that I was full of adhesions from a prior c-section and hysterectomy that had to convert to open surgery.
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"*

dorri
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Date Joined Feb 2003
Total Posts : 1876
   Posted 4/12/2010 8:08 AM (GMT -7)   
Thanks, I had a small bowel follow thru and the doctor said I had bowel narrowing from scar tissue that had formed from a previous surgery I had on my bowel. He did not use the word stricture, he said it was scar tissue. Is there a difference?


Nanners
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Date Joined Apr 2005
Total Posts : 14995
   Posted 4/12/2010 9:08 AM (GMT -7)   
Not really. It just means you have a stricture made up of scar tissue at the reconnection site. Same thing happened to me:(
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
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   Posted 4/13/2010 12:45 AM (GMT -7)   
well first off , a stricturplasty does not remove any tissue. it merely cuts it and folds it into another shape. and scar tissue cannot be removed with medication.
randynoguts 



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


dorri
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Date Joined Feb 2003
Total Posts : 1876
   Posted 4/13/2010 8:50 AM (GMT -7)   
I don't get it, if the bowel itself is cut, then wouldn't it cause more scar tissue eventually?. I read that it's like letting out a seam, a seam of what, do they stretch the scar tissue and then sew it back? if they don't stretch then what enlarges the narrowing and joins the incision? Sorry, I'm still not clear on that one?


CrohnieToo
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   Posted 4/13/2010 9:01 AM (GMT -7)   
It is hard to describe w/o sketches. They cut a lengthwise slit in the scarred obstructed area. Then they sew or staple the lips of the slit together vertically instead of lengthwise. This makes a widened area where the obstruction was so things can flow thru easily.

I couldn't grasp the concept from the descriptions of strictureplasty until I saw the diagrams/sketches. Then it is so simple and so clear I had to wonder WHY I didn't grasp the concept.

Yes, any surgery does create some scar tissue. But the scar tissue they are talking is not so much surgical scar tissue but rather disease inflammation-caused scar tissue that has been building up in that area.
My computer says I need to upgrade my brain to be compatible with its new software.


randynoguts
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Date Joined Jan 2003
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   Posted 4/13/2010 5:52 PM (GMT -7)   
get yourself a piece of garden hose..might be a littel thick, ... cut a slit in it lengthwise about 4-5 inches long , then push the ends up together untill the slit meets itself, and staple it together.. basically that what happens. although they do make some smaller cuts at the ends perpendicular to get the movement they need
randynoguts 



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


dorri
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Date Joined Feb 2003
Total Posts : 1876
   Posted 4/13/2010 7:26 PM (GMT -7)   
Thanks I tried this with a paper roll and it doesn't seem to make things any clearer because it doesn't want to bend up unless there is supposed to be a bend in it?

I'll look and see if we have a loose bit of hose hanging around the yard? Maybe I can find a sketch of it on the net.
Thanx


CrohnieToo
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Date Joined May 2003
Total Posts : 9448
   Posted 4/14/2010 5:19 AM (GMT -7)   
Randy, that is an excellent way to describe strictureplasty. Thank you. There is a sketch on the web, but I'm unsure that it is a link that is allowed to be posted here. It is a "safe" link. All I can say is IBD sucks.


My computer says I need to upgrade my brain to be compatible with its new software.

Post Edited (CrohnieToo) : 4/14/2010 6:24:10 AM (GMT-6)


dorri
Veteran Member


Date Joined Feb 2003
Total Posts : 1876
   Posted 4/14/2010 5:16 PM (GMT -7)   
I was lucky to find a small piece of hose in our yard that my hubbie cut off when ours exploded last fall. I cut a slit in it lengthwise and yes, now I understand exactly how a strictureplasty is done, but by looking at it I take it the slit in an intestine can't be too long as there would be too much excess once it has been sewn, so is this type of surgery even possible for a long narrowed segment? do the little pockets on the side straighten out?


CrohnieToo
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Date Joined May 2003
Total Posts : 9448
   Posted 4/14/2010 7:00 PM (GMT -7)   
Yes, there is a limit to the length of intestine for strictureplasty, but I don't know what it is.
 
Ooops. I just remembered tho .... SOMEWHERE I read and saw the diagrams of a new method of strictureplasty for longer stretches of stricturing. The long stricture is folded onto itself, like folding that stretch of intestine into a U, and then the two inner sides of the U are stitched together.


My computer says I need to upgrade my brain to be compatible with its new software.

Post Edited (CrohnieToo) : 4/15/2010 6:24:24 AM (GMT-6)


dorri
Veteran Member


Date Joined Feb 2003
Total Posts : 1876
   Posted 4/14/2010 8:22 PM (GMT -7)   
Thanks, that would be great.

Will wait and see what the doctor says next week?


randynoguts
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Date Joined Jan 2003
Total Posts : 6049
   Posted 4/14/2010 8:51 PM (GMT -7)   
yeah it does go together in kind of a "U" shape.. the excess can be cut off or left i think. as long as the blood supply is good.

C2.. i get it ....;-)
randynoguts 



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


CrohnieToo
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Date Joined May 2003
Total Posts : 9448
   Posted 4/15/2010 5:27 AM (GMT -7)   
Yeah, that doggone blood supply issue. That's the main reason so much of us lose much more of the cecum and/or ascending colon when the "damaged" area is "only" a small portion of the TI near the ICV. *sigh* How much we lose there depends solely on the blood supply to the region. *redundant sigh*


My computer says I need to upgrade my brain to be compatible with its new software.

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