Figure 6.
Suggested approach to stricture therapy. *If endoscopically reachable, technically feasible and indicated. #Indications for stricturoplasty include: presence of multiple strictures over extensive length of bowel, previous significant small bowel resection (>100 cm), short bowel syndrome, strictures without phlegmon or septic fistula, duodenal strictures and anastomotic strictures.150,151 Contraindications include: associated abscess or phlegmon, perforation with diffuse peritonitis, suspicion of carcinoma in the stricture or poor nutritional status. Stricturoplasty can be performed safely in active disease.150 §Need to rule out malignancy. ED, endoscopic dilation.