Heineke-Mikulicz Strictureplasty

Heineke-Mikulicz Strictureplasty is the most common among the conventional strictureplasties. Emmanuel Lee introduced this strictureplasty for the treatment of Crohn’s disease in 1976 after he became aware of a similar technique on tubercular strictures of the terminal ileum described by Katarya, an Indian surgeon. This technique is similar to a Heineke-Mikulicz pyloroplasty from which it derives its name.

The technique is optimal to address short strictures (≤7 cm). This technique is performed by making a longitudinal incision on the antimesenteric side of the bowel, extending from 2 cm proximal to 2 cm distal to the stricture. The enterotomy is then closed in a transverse fashion in one or two layers.

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