- Author:
Thomas KLAG
1
;
Jan WEHKAMP
;
Martin GOETZ
Author Information
- Publication Type:Review
- Keywords: Crohn's disease; Stricture; Stenosis; Balloon dilation; Constriction, pathologic
- MeSH: Constriction, Pathologic*; Crohn Disease; Endoscopy; Short Bowel Syndrome
- From:Clinical Endoscopy 2017;50(5):429-436
- CountryRepublic of Korea
- Language:English
- 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.