Finney strictureplasty
| Finney strictureplasty | |
|---|---|
| Specialty | gastroenterology |
Finney strictureplasty is indicated for strictures up to 15 centimeters. The Finney strictureplasty is performed by folding the diseased bowel on itself and creating a large opening between the two loops. This strictureplasty can be used to address longer strictures (>7 cm and ≤15 cm) than those manageable with the Heineke-Mikulicz technique (usually performed for strictures up to 7 cm).[1]
The Finney strictureplasty is named after the Finney pyloroplasty, first described in 1937.[2] The strictured loop is folded over itself at its midpoint section, forming a U shape. A longitudinal enterotomy is then performed halfway between the mesenteric and the antimesenteric side on the folded loop. The opposed edges of the bowel are sutured together to create a short side-to-side anisoperistaltic enteroenterostomy. Concerns about long-term complications, such as bacterial overgrowth in the bypassed segment, limit the length of the stricture to be addressed by this strictureplasty to less than 15 cm.[3]
Strictureplasties are categorized into three groups: Conventional, intermediate, and complex procedures. The Heineke-Mikulicz Strictureplasty is the most common among the conventional stricutreplasties, the Finney strictureplasty is the most common intermediate strictureplasty, and the most common complex strictureplasty is the Michelassi Strictureplasty.[citation needed]
References
- ^ Fichera A, Hurst RD, Michelassi F (2003). "Current methods of bowel-sparing surgery in Crohn's disease". Adv Surg. 37: 231–51. PMID 12953636.
- ^ Fazio VW, Galandiuk S, Jagelman DG, Lavery IC (November 1989). "Strictureplasty in Crohn's disease". Ann. Surg. 210 (5): 621–5. doi:10.1097/00000658-198911000-00009. PMC 1357796. PMID 2818031.
- ^ Michelassi F, Taschieri A, Tonelli F, Sasaki I, Poggioli G, Fazio V, Upadhyay G, Hurst R, Sampietro GM, Fazi M, Funayama Y, Pierangeli F (March 2007). "An international, multicenter, prospective, observational study of the side-to-side isoperistaltic strictureplasty in Crohn's disease". Dis. Colon Rectum. 50 (3): 277–84. doi:10.1007/s10350-006-0804-y. PMID 17245614. S2CID 12443510.
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