Strictureplasty
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Strictureplasty
Strictureplasty (also spelled Stricturoplasty) is a surgical procedure performed to alleviate bowel narrowing due to scar tissue that has built up in the intestinal wall from inflammatory bowel conditions such as Crohn's disease. The scar tissue accumulates as a result of repeated damage and healing, with the scarring causing a stricture (a narrowing of the lumen of the bowel). The narrowing can force bowel contents into fissures and ulcers at the site, causing additional damage and narrowing. The surgery restores free flow through the bowel without the need for removing bowel segments (i.e., without bowel resection). Strictureplasty was first used in Crohn's disease patients about 30 years ago. The first strictureplasty for Crohn's disease was performed by Emanoel Lee in 1976 and was reported in 1982. The course of the following two decades several papers demonstrated that strictureplasties were safe and effective. Strictureplasties are categorized into three groups: Conventional, ...
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Digestive System Surgery
Digestive system surgery, or gastrointestinal surgery, can be divided into upper GI surgery and lower GI surgery. Subtypes Upper gastrointestinal Upper gastrointestinal surgery, often referred to as upper GI surgery, refers to a practise of surgery that focuses on the upper parts of the gastrointestinal tract. There are many operations relevant to the upper gastrointestinal tract that are best done only by those who keep constant practise, owing to their complexity. Consequently, a general surgeon may specialise in 'upper GI' by attempting to maintain currency in those skills. Upper GI surgeons would have an interest in, and may exclusively perform, the following operations: * Pancreaticoduodenectomy * Esophagectomy * Liver resection Lower gastrointestinal Lower gastrointestinal surgery includes colorectal surgery as well as surgery of the small intestine. Academically, it refers to a sub-specialisation of medical practise whereby a general surgeon focuses on the lower gastro ...
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