Endoscopic Balloon Dilation for Crohn's Disease-Associated Strictures
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 s...
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| Main Authors: | , , |
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| Format: | Book |
| Published: |
Korean Society of Gastrointestinal Endoscopy,
2017-09-01T00:00:00Z.
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| Online Access: | Connect to this object online. |
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| Summary: | 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. |
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| Item Description: | 2234-2400 2234-2443 10.5946/ce.2017.147 |