We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Invited Commentary |

Long-term Results of Side-to-Side Isoperistaltic Strictureplasty for Crohn Disease

Fabrizio Michelassi, MD1
[+] Author Affiliations
1Department of Surgery, Weill Cornell Medicine, New York, New York
JAMA Surg. 2016;151(5):461. doi:10.1001/jamasurg.2015.4661.
Text Size: A A A
Published online


The article by Fazi and colleagues1 reports on the results of a retrospective study carried out at a single institution between 1996 and 2010 aimed at assessing the long-term outcomes of patients undergoing a side-to-side isoperistaltic strictureplasty (SSIS) for Crohn disease strictures of the small bowel or neoterminal ileum. The study included 91 patients; follow-up at 5.5 years was 91%.

To my knowledge, this is currently the largest single-center experience with SSIS with the longest follow-up. The SSIS was first performed in 1993 and first described in 1996.2 In 2000, the first feasibility study was published on 25 consecutive patients.3 In 2007, an international multicentric study (the authors were coauthors on that study) reported on the long-term (10-year) safety of SSIS.4 That study had limited data on recurrence rates and locations.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections