{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T15:57:26Z","timestamp":1770479846934,"version":"3.49.0"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[1994,4,1]],"date-time":"1994-04-01T00:00:00Z","timestamp":765158400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1994,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The efficacy of strictureplasty in the treatment of Crohn's disease is often attributed in part to concomitant resection of strictured small bowel segments. Fifty-four patients with obstructive Crohn's disease who underwent 215 strictureplasty procedures (Heineke-Mikulicz, 179; Finney, 36) without concomitant resection of small bowel were reviewed. The median age was 38 (range 18\u201366) years and the median follow-up 3 (range 1\u20137) years. The mean number of strictureplasties per patient was 4 (range 1\u201313). Twenty-four patients had undergone at least one previous small bowel resection. There was no operative death. Intraabdominal abscess and enterocutaneous fistula occurred in two patients each and reoperation for sepsis was needed in one. At 1 year after surgery the median weight gain was 4 kg; all but two patients had relief of obstructive symptoms and 26 of 37 were weaned off steroids. Symptomatic recurrence occurred in 14 patients and seven required reoperation. Rates of recurrent stricture and of new stricture or perforative disease were 2\u00b73 per cent of strictureplasty sites and 26 per cent of patients respectively.<\/jats:p>","DOI":"10.1002\/bjs.1800810426","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T20:46:22Z","timestamp":1172954782000},"page":"561-563","source":"Crossref","is-referenced-by-count":39,"title":["Strictureplasty without concomitant resection for small bowel obstruction in Crohn's disease"],"prefix":"10.1093","volume":"81","author":[{"given":"J J","family":"Tjandra","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery, Cleveland Clinic Foundation , Cleveland, Ohio,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V W","family":"Fazio","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Cleveland Clinic Foundation , Cleveland, Ohio,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1994,4,1]]},"reference":[{"key":"2024092814504579100_bib1","first-page":"1","article-title":"Controversies in the surgical management of Crohn's disease","volume":"2","author":"Ekelund","year":"1989","journal-title":"Perspectives in Colon and Rectal Surgery"},{"key":"2024092814504579100_bib2","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1155\/1993\/197860","article-title":"Crohn's disease - the benefits of minimal surgery","volume":"7","author":"Tjandra","year":"1993","journal-title":"Canadian Journal of Gastroenterology"},{"key":"2024092814504579100_bib3","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/S0025-7125(16)30593-4","article-title":"Conservative surgery for Crohn's disease of the small bowel: the role of strictureplasty","volume":"74","author":"Fazio","year":"1990","journal-title":"Med Clin North Am"},{"key":"2024092814504579100_bib4","first-page":"245","article-title":"Up-to-date management of small bowel Crohn's disease","volume":"20","author":"Alexander-Williams","year":"1987","journal-title":"Adv Surg"},{"key":"2024092814504579100_bib5","first-page":"229","article-title":"Minimal surgery for chronic obstruction in patients with extensive or universal Crohn's disease","volume":"64","author":"Lee","year":"1982","journal-title":"Ann R Coll Surg Engl"},{"key":"2024092814504579100_bib6","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1097\/00000658-198911000-00009","article-title":"Strictureplasty in Crohn's disease","volume":"210","author":"Fazio","year":"1989","journal-title":"Ann Surg"},{"key":"2024092814504579100_bib7","first-page":"458","article-title":"Stapler strictureplasty for Crohn's disease","volume":"169","author":"Deutsch","year":"1989","journal-title":"Surg Gynecol Obstet"},{"key":"2024092814504579100_bib8","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1001\/archsurg.1984.01390190097022","article-title":"Strictureplasty: an alternative in the surgical treatment of Crohn's disease","volume":"119","author":"Pace","year":"1984","journal-title":"Arch Surg"},{"key":"2024092814504579100_bib9","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1007\/BF02554119","article-title":"Strictureplasty: a good operation for small bowel Crohn's disease?","volume":"29","author":"Kendall","year":"1986","journal-title":"Dis Colon Rectum"},{"key":"2024092814504579100_bib10","first-page":"133","article-title":"New options in the surgical management of Crohn's disease","volume":"30","author":"Whelan","year":"1987","journal-title":"Can J Surg"},{"key":"2024092814504579100_bib11","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1002\/bjs.1800760407","article-title":"Ten-year experience of strictureplasty for obstructive Crohn's disease","volume":"76","author":"Dehn","year":"1989","journal-title":"Br J Surg"},{"key":"2024092814504579100_bib12","first-page":"19","article-title":"Strictureplasty in Crohn's disease","volume":"32","author":"Silverman","year":"1989","journal-title":"Can J Surg"},{"key":"2024092814504579100_bib13","first-page":"511","article-title":"Our experience with strictureplasty in the surgical treatment of Crohn's disease","volume":"36","author":"Gaetini","year":"1989","journal-title":"Hepatogastroenterology"},{"key":"2024092814504579100_bib14","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1001\/archsurg.1990.01410180033006","article-title":"Strictureplasty of the small bowel in patients with Crohn's disease","volume":"125","author":"Pritchard","year":"1990","journal-title":"Arch Surg"},{"key":"2024092814504579100_bib15","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1007\/BF00341394","article-title":"Strictureplasty for ileocolic anastomotic strictures in Crohn's disease","volume":"6","author":"Sharif","year":"1991","journal-title":"Int J Colorectal Dis"},{"key":"2024092814504579100_bib16","first-page":"189","volume-title":"Perspective Outlook, QMP Clinical Series","author":"Tjandra","year":"1992"},{"key":"2024092814504579100_bib17","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1002\/bjs.1800780106","article-title":"Recurrence of Crohn's disease after resection","volume":"78","author":"Williams","year":"1991","journal-title":"Br J Surg"},{"key":"2024092814504579100_bib18","first-page":"583","article-title":"Diffuse jejunoileitis of Crohn's disease","volume":"172","author":"Cooke","year":"1974","journal-title":"Q J Med"},{"key":"2024092814504579100_bib19","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1111\/j.1445-2197.1993.tb00052.x","article-title":"Results of multiple (\u22654) strictureplasties in diffuse Crohn's disease of the small bowel","volume":"63","author":"Tjandra","year":"1993","journal-title":"Aust N Z J Surg"},{"key":"2024092814504579100_bib20","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1007\/BF01648838","article-title":"The technique of intestinal strictureplasty","volume":"1","author":"Alexander-Williams","year":"1986","journal-title":"Int J Colorectal Dis"},{"key":"2024092814504579100_bib21","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1002\/bjs.1800760406","article-title":"Recurrence after strictureplasty or resection for Crohn's disease","volume":"76","author":"Sayfan","year":"1989","journal-title":"Br J Surg"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800810426","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/81\/4\/561\/59409435\/bjs1800810426.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/81\/4\/561\/59409435\/bjs1800810426.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T14:50:55Z","timestamp":1727535055000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/81\/4\/561\/6165524"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,4,1]]},"references-count":21,"journal-issue":{"issue":"4","published-online":{"date-parts":[[1994,4,1]]},"published-print":{"date-parts":[[1994,4,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800810426","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1994,4]]},"published":{"date-parts":[[1994,4,1]]}}}