Finney strictureplasty

Finney strictureplasty is a surgical procedure used to treat intestinal obstruction caused by Crohn's disease. It is named after the American surgeon, John Miller Turpin Finney, who first described the procedure in 1902.

Overview

Crohn's disease is a chronic inflammatory bowel disease that can affect any part of the gastrointestinal tract. One of the complications of Crohn's disease is the development of intestinal strictures, which are narrowings of the intestine that can cause obstruction. Finney strictureplasty is a surgical procedure that is used to widen these strictures without removing any part of the intestine.

Procedure

During a Finney strictureplasty, the surgeon makes a longitudinal incision along the length of the stricture. The incision is then closed in a transverse manner, effectively widening the lumen of the intestine. This procedure preserves the length of the intestine and avoids the need for intestinal resection, which can lead to short bowel syndrome.

Indications

Finney strictureplasty is indicated for patients with Crohn's disease who have developed short strictures in the small intestine. It is particularly useful for patients who have multiple strictures, as it allows for the treatment of all strictures in a single operation.

Risks and Complications

As with any surgical procedure, Finney strictureplasty carries some risks. These include infection, bleeding, and anastomotic leak. There is also a risk of recurrence of the stricture.

See Also

• Crohn's disease
• Intestinal obstruction
• Intestinal stricture
• Intestinal resection
• Short bowel syndrome