Widening Strictures, taking them out or what else?

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Veteran Member

Date Joined Jan 2006
Total Posts : 768
   Posted 3/28/2009 12:41 PM (GMT -7)   
Can anyone tell me how they widen a stricture? I read somewhere about a balloon thing?? Are there other options besides the basic, "take out the section of bad bowel"??

Regular Member

Date Joined Dec 2007
Total Posts : 298
   Posted 3/28/2009 1:16 PM (GMT -7)   
As far as I know there are three options.
(1) resection--take out the section of bowel and reconnect.
(2) strictureplasty--allows you to keep that section of bowel. Basically the surgeon cuts the bowel and then sutures it in such a way that the narrow area is opened. This is generally done for people who are already losing or have lost sections of bowel during a resection.
(3) balloon dilation, which involves a colonoscopy, and they literally blow up a balloon internally to stretch out the stricture. There is a risk of perforation.
July 2007 Drug-Induced Liver Injury
January 2008 Crohn's Ileitis
Currently trying... Enteral Nutrition, Flax Oil, VSL#3, Folic Acid, Vitamin E

Rider Fan
Veteran Member

Date Joined May 2008
Total Posts : 1445
   Posted 3/28/2009 1:37 PM (GMT -7)   
Also, my surgeon told me that strictureplasty's aren't done in the large bowel, or at least he doesn't do them. But maybe they are done by others?
32 y/o male. Dx'ed in 1999. No surgeries.

Current meds: Humira 2/27/09. 17.5mg prednisone. Udo's Choice Probiotics (30 billion). Can't tolerate any iron supplements.

Tried SCD, didn't work, now avoiding gluten and dairy.

Regular Member

Date Joined May 2006
Total Posts : 229
   Posted 3/28/2009 2:05 PM (GMT -7)   
what kind of symptoms are u getting from your stricture? I think I have a stricture, and I feel entocort helps for keeping it less inflammed. But i have varying cycles where for a few days or so I have lower appetite, maybe slight nausea and slight cramping. Then usually, I increase my entocort dose and eat mostly easy to digest liquids, and things improve after about 3-5 days. Anyways, even though its a battle sometimes, I hear of people living with more mild strictures for years potentially. So if your not having major symptoms, they probably won't even bother to dilate it or anything.

Regular Member

Date Joined May 2006
Total Posts : 38
   Posted 3/28/2009 2:22 PM (GMT -7)   
I just went through this same surgery. (only out of hospital 1 week)  I had two obstructions completely removed but had four other areas that the surgeon had to perform strictoplasty on.  The way that it was explained to me was that there were small cuts mad around on on the stricture and then the intestine was somewhat pushed together to make that area widen instead of taking it out completely.

27 years old- Crohn's 5 years - 2 Small Bowel Ressections/Appendectomy - Cimzia (NEW!?) - Omeprazole for stomach- prednisone - worried about future flares and surgeries - looking for support and advice

Veteran Member

Date Joined Jan 2006
Total Posts : 768
   Posted 3/28/2009 4:23 PM (GMT -7)   
My stricture is right at the end of the Large colon very close to the end. Can barely go to bathroom unless stools very soft or plain old D. I am not taking anything meds right now since I was taken out of last study. That's what they mean by "only wanting you for your body". Found spots that might mess up their study. I haven't heard from the GI since. 4 months. luckily I am doing pretty good on nothing, but surgeon phones out of nowhere and advises surgery to take all of large colon and have permanent bag. You would think they would try something not so evasive first, or suggest some options. Or even a semi permanent bag. I want to go back to the GI with some knowledge and options instead of just saying yes and suffering more because of it.

Teach hope you heal quickly and you are better than ever!!

Illini nice lit I wrote it down to talk to GI. It may be a while before I get in though.
Rider I will definitely check that out and get back.
Camjames not on meds but have heard a lot about this one. Do warm water and salt enemas sometimes and they make it feel better.
Thank-you all for the great comments. I seem to always get help from you guys. I really appreciate it.
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