High grade anorectal stricture complicating Crohn's disease: endoscopic treatment using insulated-tip knife.
- Author:
Hyung Ku CHON
1
;
Ik Sang SHIN
;
Sang Wook KIM
;
Soo Teik LEE
Author Information
- Publication Type:Case Report
- Keywords: Crohn diseases; Anorectal stricture; Endoscopic insulated-tip knife
- MeSH: Adult; Constriction, Pathologic*; Crohn Disease*; Defecation; Diatrizoate Meglumine; Dilatation; Electrocoagulation; Enema; Female; Humans; Magnetic Resonance Imaging; Sigmoidoscopy
- From:Intestinal Research 2016;14(3):285-288
- CountryRepublic of Korea
- Language:English
- Abstract: Endoscopic treatments have emerged as an alternative to surgery, in the treatment of benign colorectal stricture. Unlike endoscopic balloon dilatation, there is limited data on endoscopic electrocautery incision therapy for benign colorectal stricture, especially with regards to safety and long-term patency. We present a case of a 29-year-old female with Crohn's disease who had difficulty in defecation and passing thin stools. A pelvic magnetic resonance imaging scan, gastrograffin enema, and sigmoidoscopy showed a high-grade anorectal stricture. An endoscopic insulated-tip knife incision was successfully performed to resolve the problem. From our experience, we suggest that endoscopic insulated-tip knife treatment may be a feasible and effective modality for patients with short-segment, very rigid, fibrotic anorectal stricture.
