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Distinguishing between predominantly inflammation vs established fibrosis as the cause of a stricture can be challenging. While inflammatory strictures may be responsive to medication, predominantly fibrotic strictures usually need surgical intervention. Both endoluminal and extraluminal approaches are described in this review. Endoscopic dilatation of strictures is suitable for short\u2010segment isolated small bowel strictures. Other options are to divide the stricture surgically but preserve the length, performing a strictureplasty or resecting the strictured segment. The mesentery is increasingly recognized as playing a role in stricture recurrence. In a relapsing\u2010remitting disease such as Crohn's disease, the preservation of intestinal length is essential and balance is needed between this and a complete resection to reduce the risk of recurrence. Pre\u2010 and postoperative involvement of the multidisciplinary team is essential to improve outcomes in this challenging clinical scenario.<\/jats:p>","DOI":"10.1111\/1751-2980.12880","type":"journal-article","created":{"date-parts":[[2020,5,15]],"date-time":"2020-05-15T00:14:59Z","timestamp":1589501699000},"page":"355-359","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Surgical treatment of intestinal stricture in inflammatory bowel disease"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2877-2347","authenticated-orcid":false,"given":"Helen M.","family":"Mohan","sequence":"first","affiliation":[{"name":"Department of Surgery University Hospital Limerick  Limerick Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John C.","family":"Coffey","sequence":"additional","affiliation":[{"name":"Department of Surgery University Hospital Limerick  Limerick Ireland"},{"name":"University of Limerick Graduate Entry Medical School and Centre for Interventions in Infection, Inflammation &amp; Immunity  Limerick Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,6,18]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-019-03432-w"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v24.i17.1859"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2014.297"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.trsl.2019.03.005"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjy036"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1159\/000445135"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/gastro\/gou046"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOG.0000000000000280"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjy136"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjx187"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjy131"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2019.01.029"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.3109\/00365521.2012.668931"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.5217\/ir.2018.00107"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjz004"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpg.2019.02.005"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjz158"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crohns.2013.06.011"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/ibd\/izz196"},{"key":"e_1_2_11_21_1","unstructured":"National Institute for Health and Care Excellence. 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