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Before surgery, a thorough workup is required to determine the nature and extent of the stenosis:

Entero-MRI is the gold standard for distinguishing between inflammatory (treatable with medication) and fibrotic (requiring surgery) stenoses. Download TRT chir sténoses l’intestin grêle pdf

The surgical treatment (TRT chir) of small bowel stenosis, particularly in the context of Crohn's disease, typically involves two primary approaches: or stricturoplasty . While medication and endoscopic dilation are often tried first, surgery is indicated when stenoses are symptomatic, "dry" (fibrotic rather than inflammatory), or unresponsive to medical therapy. 1. Pre-Therapeutic Evaluation Before surgery, a thorough workup is required to