endoscopic balloon dilation for crohn’s disease-associated strictures

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ID: 192447
2017
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Abstract
Management of intestinal strictures associated with Crohn’s disease (CD) is clinically challenging despite advanced medical therapy directed toward mucosal healing to positively influence the natural course of CD-associated complications. Although medical therapy is available for inflammatory strictures, therapy of fibrostenotic strictures is the domain of surgery and endoscopy. Endoscopic balloon dilation (EBD) has been recognized as a well-established first-line procedure in terms of safety and efficacy. Although surgery is a valuable treatment modality for the management of CD-related strictures, EBD can help prevent multiple surgical interventions, which might in the long-term lead to a risk of short bowel syndrome. In this review we discuss requirements, techniques, safety, short- and long-term outcomes, as well as combinations of this procedure with surgical and medical treatment in CD-associated intestinal strictures.
Reference Key
klag2017clinicalendoscopic Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Thomas Klag;Jan Wehkamp;Martin Goetz
Journal annals of intensive care
Year 2017
DOI
10.5946/ce.2017.147
URL
http://www.e-ce.org/upload/pdf/ce-2017-147.pdf
Keywords
crohn’s disease stricture stenosis Gastroenterology pathologicinternal medicinediseases of the digestive system

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