Treatment of Rectal Stricture with Crohn's Disease Using Local Steroid Injection Following Dilation by Bougienation.
- Author:
Jin Gook HUH
1
;
You Sun KIM
;
Sun Young KIM
;
Ju Yeon CHO
;
Il KIM
;
Soo Hyung RYU
;
Jung Whan LEE
;
Jeong Seop MOON
Author Information
1. Department of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea. yousunk69@korea.com
- Publication Type:Case Report
- Keywords:
Crohn's disease;
Stricture;
Bougienation;
Triamcinolone
- MeSH:
Constriction, Pathologic*;
Crohn Disease*;
Dilatation;
Fibrosis;
Humans;
Korea;
Triamcinolone;
Wound Healing
- From:Korean Journal of Gastrointestinal Endoscopy
2005;30(2):108-113
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Crohn's disease has shown increased frequency in Korea. When unresponsive to medical therapy, intestinal stricture, a serious complication of Crohn's disease, sometimes requires surgical resection. However, surgical therapy has many problems because the stricture tend to recur frequently. Recently, endoscopic therapy such as bougienation or balloon dilatation has been used in treatment of intestinal stricture, because of its inexpensiveness, simplicity and safety. Combined steroid injection therapy using has shown more effective outcome than endoscopic dilatation alone by suppression of wound healing and reduction of fibrosis. We report a case of complicated rectal stricture in a patient with Crohn's disease, which dilated successfully using injection of triamcinolone following bougienation.
