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KMID : 1038120170500050429
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Clinical Endoscopy
2017 Volume.50 No. 5 p.429 ~ p.436
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Endoscopic Balloon Dilation for Crohn’s Disease-Associated Strictures
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Klag Thomas
Wehkamp Jan
Goetz Martin
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Abstract
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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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KEYWORD
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Crohn’s disease, Stricture, Stenosis, Balloon dilation, Constriction, pathologic
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