Stricturing Small Bowel Crohn’s Disease (Literature Review)

Abstract

One-third of Crohn’s disease patients suffer from isolated small bowel lesions, 10% of whom immediately develop the stricturing form of this disease. In such patients, the diagnosis is often made only on the operating table in the setting of complications. Moreover, following small bowel resection, anastomosis strictures develop in 80% of cases. Of interest are the data of foreign authors on the decrease in the recurrences of small bowel strictures following resection in patients with maximal excision of the associated mesentery. In this connection, research on the possible role of small bowel mesentery in the pathogenesis of Crohn’s disease seems relevant. If this is the case, the optimal surgical treatment consists in performing a resection of the strictured part of the small bowel with the maximal excision of the mesentery of the affected segment and with the creation of a side-to-side antimesenteric anastomosis, excluding the contact of the anastomosis with the remaining part of the mesentery. The article presents a modern literature review on the pathogenesis of the structuring form of small bowel Crohn’s disease, its diagnostic specifics, and the selection of a treatment method, as well as original photo materials.