Referee report. For: Use of strictureplasty technique for surgical treatment of ileal endometriosis: a case series [version 1; peer review: 1 approved, 1 not approved]

The paper describes a case series proposing ileal strictureplasty as an alternative to segmental intestinal resection for symptomatic deep infiltrating endometriosis, motivated by the concern that multiple ileal lesions might make wide or repeated resections more harmful. Two patients with deep infiltrating endometriosis involving ileal and recto-sigmoid sites were treated surgically: ileal nodules causing partial stricture were managed with a Heineke-Mikulicz–style strictureplasty approach that sparingly avoided mucosal entry, while sigmoid lesions were removed with conventional segmental resection. No complications were reported and both patients were asymptomatic at 12 months’ follow-up; the authors also note the study was not intended to test the procedure and provides limited evidence due to its small, non-comparative design. This paper is centrally about endometriosis — it reports surgical use of strictureplasty for ileal deep infiltrating endometriosis in two patients.

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