Strictureplasty Procedure

What to Expect: Strictureplasty Procedures

Using a team approach, our experts work closely with our colorectal surgeons to determine whether a strictureplasty procedure is right for you. If so, they will collaborate on which approach would work best for your condition, considering a variety of factors, including:

• The length of your stricture
• Positioning of your stricture within the small intestine
• How many strictures you have

For short strictures (less than 10 cm in length), we use the Heineke Miulicz strictureplasty technique. Here's what to expect:

• We give you general anesthesia, meaning you will be asleep and not able to feel any sensation during your procedure.
• We make an incision along your bowel that is slightly longer than the stricture itself.
• We place stiches at the openings of the stricture.
• Pulling the stitches perpendicular to the incision, we widen your intestine.
• Using absorbable, braided sutures, we stitch the incision closed.

For medium strictures (10 to 20 cm in length), we use the Finney strictureplasty technique:

• We give you general anesthesia, meaning you will be asleep and not able to feel any sensation during your procedure.
• We fold your intestine over itself at the stricture site.
• Using the utmost care to not disturb healthy tissue, we make a U-shaped incision along the stricture.
• To seal off the stricture, we stitch its sides together creating a widened, horseshoe-shaped passage in your intestine.

For long strictures (greater than 20 cm in length), we use the side-to-side isoperistaltic strictureplasty technique:

• We give you general anesthesia, meaning you will be asleep and not able to feel any sensation during your procedure.
• We fold your intestine over itself at the stricture site.
• Using the utmost care to not disturb health tissue, we make two short incisions.
• We connect the two segments to each other with stiches creating a bypass around the stricture.