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 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.