Multiple Primary Crohnʼs Disease-Associated Strictures Had Poor Response to Endoscopic Balloon Dilation

Lan, Nan; Shen, Bo

doi:10.14309/00000434-201810001-00748

Cited by 6 publications

(7 citation statements)

References 0 publications

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“…11,13,22,26,28,29,30 EBD of multiple strictures in the ileocolonic segment (>3) performed poorly and often required surgical resolution. 56 The consensus group speculates that multiple strictures in a short segment of bowel may benefit more from surgical resection and anastomosis or stricturoplasty. These cases often involve angulation of the stenotic bowel, increasing procedural difficulty and attendant perforation risks.…”

Section: Balloon Dilationmentioning

confidence: 99%

“…Most patients undergoing endoscopic stricture therapy require repeat interventions. 8,9,10,11,13,14,15,21,22,28,29,50,56,65,70,71,72 Defining risk factors that predict the need for endoscopy re-intervention or surgical intervention may identify patients requiring more frequent…”

Section: Post-procedures Considerationmentioning

confidence: 99%

“…The following items may identify the need for early follow-up endoscopy: (1) failure to achieve dilation goal (e.g. size of balloon or improvement in symptom) at initial endoscopy; 29 (2) smoking; 27 (3) multiple 56 or long 54 strictures; (4) strictures in the duodenum, jejunum, or proximal ileum; 54,65 (5) strictures with prestenotic luminal dilation; 28,29,50 (6) short intervals between endoscopic interventions; 50 and (7) a short interval from the disease diagnosis to need for intervention. 29,50 In addition to following symptoms, endoscopic assessment of treatment response is often needed.…”

Section: Post-procedures Considerationmentioning

confidence: 99%

“…Significant post-procedure bleeding has been defined as hemorrhage requiring blood 74 transfusion. 28,29,51,52,53,56,75 (Recommendation Table 3-6-2) Patients undergoing endoscopic electroincision may carry a higher risk for delayed bleeding. 28,29,52,56,70,70,72 In most cases of significant post-procedure bleeding, repeat endoscopy is needed to evaluate bleeding source and deliver endoscopic hemostasis, supplementary to fluid resuscitation and blood transfusion.…”

Section: Procedure-associated Adverse Events and Their Managementmentioning

confidence: 99%

See 3 more Smart Citations

Practical guidelines on endoscopic treatment for Crohn's disease strictures: a consensus statement from the Global Interventional Inflammatory Bowel Disease Group

Shen

Kochhar

Navaneethan

et al. 2020

The Lancet Gastroenterology & Hepatology

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Section: Balloon Dilationmentioning

confidence: 99%

Section: Post-procedures Considerationmentioning

confidence: 99%

Section: Post-procedures Considerationmentioning

confidence: 99%

Section: Procedure-associated Adverse Events and Their Managementmentioning

confidence: 99%

See 2 more Smart Citations

Practical guidelines on endoscopic treatment for Crohn's disease strictures: a consensus statement from the Global Interventional Inflammatory Bowel Disease Group

Shen

Kochhar

Navaneethan

et al. 2020

The Lancet Gastroenterology & Hepatology

Self Cite

View full text Add to dashboard Cite

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“…En relación con el número de estenosis, en un estudio retrospectivo de pacientes con estenosis múltiples se encontró que la presencia de > 3 estenosis se asoció con un mayor riego de cirugía, a diferencia de los pacientes con 2-3 estenosis (RM: 14.1, IC 95%: 1.6-120.3 vs. RM: 1.5, IC 95%: 0.8-2.8, respectivamente) 108 .…”

Section: Para El Manejo De Estenosis Por Enfermedad De Crohn Se Debe Realizar Su Clasificación Adecuada Y De Acuerdo Con Esta Los Métodosunclassified