Skip to the main content

Other

Endoscopic Balloon Dilatation of Postsurgical Intestinal Strictures in Crohn’s Disease: Case Report and Review of the Literature

Neven Ljubičić orcid id orcid.org/0000-0002-5207-4357
Alen Bišćanin
Ines Nikić
Ivan Budimir
Marko Nikolić
Tajana Pavić


Full text: english pdf 208 Kb

page 374-378

downloads: 984

cite


Abstract

Strictures are one of the most common complications of Crohn’s disease. If symptomatic and resistant to medical anti-inflammatory therapy, and especially in cases of acute obstruction, surgical correction may be unavoidable. Although surgical treatment is dramatically effective in curing Crohn’s disease strictures, a high rate of postsurgical restenosis has been recognized, ultimately requiring additional surgery. To avoid the risks and costs entailed by repeated surgical resection, endoscopic balloon dilatation (EBD) has been proposed as a conservative treatment option for intestinal strictures in Crohn’s disease, in which the stricture is pneumatically dilated with through-the-scope balloons of different diameters. The main clinical indication for EBD is the appearance of obstructive symptoms associated with the stricture, especially if they are postoperative and shorter than 4 centimeters. Usually more than one dilatation session is required for every stricture. EBD is applied infrequently, possibly due to the perceived risk of perforation and early stricture recurrence, but studies have demonstrated that EBD has a high success rate, a low chance of complications, excellent symptomatic response, as well as good short-term and long-term outcomes, proving that it is a relatively simple and successful technique that provides long-term effective palliation of the symptoms with minimal risk in patients with simple strictures, and offers a reasonable alternative to surgery.

Keywords

Constriction, pathologic – surgery; Endoscopy, gastrointestinal – methods; Crohn’s disease – complications

Hrčak ID:

116856

URI

https://hrcak.srce.hr/116856

Publication date:

1.9.2013.

Article data in other languages: croatian

Visits: 2.662 *