**4. Short-lenght stricture**

The technique of Heineke-Mikulicz (**Figure 8**) [33, 34] is the most used one and is similar to that used for pyloroplasty. A small incision over the stricture is extended *Current Elective Surgical Treatment of Inflammatory Bowel Disease DOI: http://dx.doi.org/10.5772/intechopen.100112*

**Figure 8.**

*The Heineke-Mikulicz technique. A - Longitudinal incision; B - transverse suture; C - final aspect.*

#### **Figure 9.**

*The Moskel-Walske-Neumayer technique. A-Stenosis between segments with different diameters; B - It is made an Y shape incision; C - A free-tension suture is made.*

**Figure 10.** *The Judd technique. A- stenosis with fistula; B - the fistula is removed; C - end-to-end anastomosis.*

to 2 cm in normal tissue. The incision is closed transversally: 1 or 2 layers with absorbable suture and continuous or separate stitch. The Moskel-Walske-Neumayer technique (**Figure 9**) is used when you have a great difference in the width of bowel to anastomosis. If you have a fistula in the stricture the Judd (**Figure 10**) technique is preferable to remove the fistula tract and repair the stenosis.
