Balloon dilation of recurrent terminal ileal Crohn’s stricture

Kirtley, Douglas W.; Willis, Melvin; Thomas, Eapen

doi:10.1016/s0016-5107(87)71660-5

Cited by 14 publications

(5 citation statements)

References 8 publications

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“…In Crohn's disease patients with symptoms of intestinal stricture not responding to medical treatment, surgery with intestinal resection or strictureplasty is usually indicated 11 ,. 12 For strictures accessible to endoscopy, alternative approaches have been proposed, including through the endoscope balloon dilatation 3 , 5 , 13–15 and, more recently, per‐endoscopic strictureplasty followed by metallic stent insertion 16 ,. 17 …”

Section: Discussionmentioning

confidence: 99%

Hydrostatic balloon dilatation of Crohn's strictures

Sabaté

Villarejo

Bouhnik

et al. 2003

Aliment Pharmacol Ther

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SUMMARYAim: To evaluate the safety and long-term efficacy of per-endoscopic hydrostatic balloon dilatation in a retrospective series of patients with Crohn's disease. Methods: Thirty-eight patients had balloon dilatation for intestinal symptomatic strictures which were located as follows: ileo-colonic (26) or colocolic (2) anastomosis, colon (4), ileum (3), proximal jejunum (1) and ileocaecal valve (5); three patients had two strictures accessible to dilatation. The mean length of the strictures was 2.1 cm (s.d., 0.3 cm). Results: Thirty-two of the 38 patients were successfully dilated and followed for a median of 22.8 months (0.2-103 months) until surgery or last news. The probabilities of obstructive symptom recurrence were 36% at 1 year and 60% at 5 years. Twelve patients had a second dilatation, and three a third. The probabilities of surgery for stricture were 26% at 1 year and 43% at 5 years. Results were not influenced by age, sex, activity of the disease, passage of the stricture by the colonoscope or concomitant medical therapies. Complications occurred in 9.4% of the 53 dilatation sessions, with only one perforation. Conclusions: Hydrostatic balloon dilatation is effective for Crohn's symptomatic strictures, and can avoid or postpone surgery, with an acceptable rate of complications.

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Section: Discussionmentioning

confidence: 99%

Hydrostatic balloon dilatation of Crohn's strictures

Sabaté

Villarejo

Bouhnik

et al. 2003

Aliment Pharmacol Ther

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“…Therefore, endoscopic therapy for gastrointestinal stricture is an effective optional therapy. There are few studies that have reported the usefulness of EBD in Crohn's disease patients with gastrointestinal strictures 6–16 . Some pilot studies reported the usefulness of EBD and endoscopic techniques, 6–14 but some problems remain unresolved, especially, the long‐term efficacy has not been clearly proven.…”

Section: Discussionmentioning

confidence: 99%

LONG‐TERM OUTCOME OF ENDOSCOPIC BALLOON DILATION IN OBSTRUCTIVE GASTROINTESTINAL CROHN's DISEASE

Matsui

Tsuda

Matake

et al. 2004

Digestive Endoscopy

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Background: Gastrointestinal strictures are the most often and serious complication in Crohn's disease. Because of the frequent postoperative recurrence in Crohn's disease, endoscopic therapy of gastrointestinal stricture is one of the best therapeutic options. Method: The present study sets out the results from a prospective study of endoscopic dilation therapy on 48 Crohn's disease patients with severe gastrointestinal stenoses. All patients who could not undergo endoscopic balloon dilation therapy (EBD) were operated on. Results: Long‐term success was attained in 32 of the 48 patients; cumulative avoidance of surgery after EBD was 86% at one year and 71% at three. Second, the most hazardous factor was recurrent inflammation causing restenosis. Patients who had strictures with oral luminal dilatation and patients with frequent recurrence had a tendency to be operated on. As a complication, perforation occurred in two cases (3.3%). Conclusions: EBD therapy for Crohn's stricture in the gastrointestinal tract is recommended before surgical intervention.

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“…In Crohn's disease patients with symptoms of intestinal stricture not responding to medical treatment, surgery with intestinal resection or strictureplasty is usually indicated. 11,12 For strictures accessible to endoscopy, alternative approaches have been proposed, including through the endoscope balloon dilatation 3,5,[13][14][15] and, more recently, per-endoscopic strictureplasty followed by metallic stent insertion. 16,17 Several studies have reported the results of balloon dilatation ( Table 1).…”

Section: Discussionmentioning

confidence: 99%

Hydrostatic balloon dilatation of Crohn's strictures

SABATE¹,

VILLAREJO²,

LEMANN³

et al. 2001

Gastroenterology

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Aim: To evaluate the safety and long-term efficacy of per-endoscopic hydrostatic balloon dilatation in a retrospective series of patients with Crohn's disease. Methods: Thirty-eight patients had balloon dilatation for intestinal symptomatic strictures which were located as follows: ileo-colonic (26) or colocolic (2) anastomosis, colon (4), ileum (3), proximal jejunum (1) and ileocaecal valve (5); three patients had two strictures accessible to dilatation. The mean length of the strictures was 2.1 cm (s.d., 0.3 cm). Results: Thirty-two of the 38 patients were successfully dilated and followed for a median of 22.8 months (0.2-103 months) until surgery or last news. The probabilities of obstructive symptom recurrence were 36% at 1 year and 60% at 5 years. Twelve patients had a second dilatation, and three a third. The probabilities of surgery for stricture were 26% at 1 year and 43% at 5 years. Results were not influenced by age, sex, activity of the disease, passage of the stricture by the colonoscope or concomitant medical therapies. Complications occurred in 9.4% of the 53 dilatation sessions, with only one perforation. Conclusions: Hydrostatic balloon dilatation is effective for Crohn's symptomatic strictures, and can avoid or postpone surgery, with an acceptable rate of complications.

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Balloon dilation of recurrent terminal ileal Crohn’s stricture

Cited by 14 publications

References 8 publications

Hydrostatic balloon dilatation of Crohn's strictures

Hydrostatic balloon dilatation of Crohn's strictures

LONG‐TERM OUTCOME OF ENDOSCOPIC BALLOON DILATION IN OBSTRUCTIVE GASTROINTESTINAL CROHN's DISEASE

Hydrostatic balloon dilatation of Crohn's strictures

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