Clin Endosc.  2017 Sep;50(5):429-436. 10.5946/ce.2017.147.

Endoscopic Balloon Dilation for Crohn’s Disease-Associated Strictures

Affiliations
  • 1Department of Internal Medicine I (Gastroenterology, Hepatology, Infectious Diseases), University Hospital Tübingen, Tübingen, Germany. martin.goetz@med.uni-tuebingen.de

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.

Keyword

Crohn's disease; Stricture; Stenosis; Balloon dilation; Constriction, pathologic
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