Surgeon's study reveals guidelines for strictures/surgery or not

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njmom
Veteran Member


Date Joined Apr 2006
Total Posts : 1884
   Posted 10/30/2007 8:56 PM (GMT -7)   
The following link mentions a longitudinal study (20 years) conducted by a surgeon on Crohn's. The key findings of the study, mentioned in the link:
 
- Strictureplasty carries a lower risk of stricture recurrence than resection.
- If a patient has a stricture, but the stricture doesn't cause any symptoms, the patient might still want to consider a strictureplasty because eventually 25% of strictures will cause problems.   
- However, if the stricture can only be removed via a resection, then the surgeon advises the patient wait, because there is still a 75% chance that the stricture will not cause "any harm." 
 

JudyK89
Veteran Member


Date Joined Dec 2006
Total Posts : 1986
   Posted 10/31/2007 5:49 AM (GMT -7)   
I discussed this with my surgeon and while he agrees with this study 100%, he explained there are still many reasons to have a resection, the length of the stricture being one of them, and he really doesn't know until he goes in for many of them. I think most of us don't even get a referral to the surgeon unless/until the stricture has been deemed "harmful", i.e.: multiple obstructions, fissures, fistulas, abscesses.
Judy
49 years old, Crohn's Disease   
Six resection surgeries, permanent ostomy, adverse reactions to Remicadeback on 6MP for maintenance, hoping for a long remission from this last surgery. 
 
 

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