Clinical Challenges in Colorectal Surgery: Management of Small Bowel Strictures in Crohn’s Disease

You have a young patient with longstanding Crohn’s disease with a history of small bowel resections presenting with recurrent obstructions from a stricture. The patient has exhausted all medical options and requires surgery. How should you work up this patient prior to surgery? Should you perform a bowel resection or perform a strictureplasty? Which strictureplasty do you choose and why? 

Join Drs. Peter Marcello, Jonathan Abelson, Tess Aulet and special guest Dr. Fabrizio Michelassi as they discuss the management of small bowel strictures in Crohn’s disease. 

Learning Objectives

1. Describe the evaluation for small bowel strictures and indications for operating in patients with Crohn’s disease 

2. Discuss the different surgical options in managing small bowel strictures 

3. Explain the rationale behind use of different strictureplasty approaches



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