Strictureplasty for Crohn's disease

Tichansky, David S.; Cagir, Burt; Yoo, Edward Y.; Marcus, Sue M.; Fry, Robert D.

doi:10.1007/bf02237350

Cited by 134 publications

(98 citation statements)

References 11 publications

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“…The long-term success rate was 80%. Our data indicate that long-term results of endoscopic balloon dilatation, repeated if necessary, are comparable to the results of surgical treatment [3,4] . The relapse rate after a single balloon dilatation is probably higher than after surgical intervention [3,4] .…”

Section: Discussionsupporting

confidence: 66%

“…Our data indicate that long-term results of endoscopic balloon dilatation, repeated if necessary, are comparable to the results of surgical treatment [3,4] . The relapse rate after a single balloon dilatation is probably higher than after surgical intervention [3,4] . Whether additional medical treatment, such as steroid injection into the stricture, as suggested in case reports [7,11,12] , or treatment with steroids after dilatation, can influence the recurrence rate is unknown.…”

Section: Discussionsupporting

confidence: 66%

“…Strictureplasty is a bowel-conserving operation technique, requiring anesthesia and minimally invasive surgery or laparotomy. Regardless of which surgical technique is chosen, the reoperation rate for new strictures or recurrence of strictures is between 15% and 45% within 5 years [3,4] . For some time, it has been possible to treat benign strictures of the upper gastrointestinal tract with endoscopic balloon dilatation.…”

Section: Introductionmentioning

confidence: 99%

“…Valid long-term studies of 5 years or more, which would permit a statement regarding recurrence of strictures and a better comparison with surgical techniques [3,4] , are available so far only in casuistic form and with limited numbers [8,[17][18][19] . We report on our own prospective 10-year long-term study of endoscopic balloon dilatation of strictures in Crohn's disease using a relatively thin balloon (18 mm) and additional treatment with prednisolone.…”

Section: Introductionmentioning

confidence: 99%

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Long-term results of endoscopic balloon dilatation of lower gastrointestinal tract strictures in Crohn’s disease: A prospective study

Stienecker¹,

Gleichmann²,

Neumayer³

et al. 2009

WJG

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AIM:To examine the long-term results of endoscopic treatment in a prospective study conducted over a period of 10 years, 1997 to January 2007. METHODS:A total of 25 patients (20 female and five male: aged 18-75 years), with at least one symptom of stricture not passable with the standard colonoscope and with a confirmed scarred Crohn's stricture of the lower gastrointestinal tract, were included in the study. The main symptom was abdominal pain. The endoscopic balloon dilatation was performed with an 18 mm balloon under endoscopic and radiological control.

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Section: Discussionsupporting

confidence: 66%

Section: Discussionsupporting

confidence: 66%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Long-term results of endoscopic balloon dilatation of lower gastrointestinal tract strictures in Crohn’s disease: A prospective study

Stienecker¹,

Gleichmann²,

Neumayer³

et al. 2009

WJG

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“…It was first used by Lee and Papaioannu [75] and later by Alexander-Williams and Haynes [76] as a conservative approach for the management of those relatively common cases in which a long segment of the small intestine presents by multiple short-segment strictures separated zones with no macroscopic disease. Strictureplasties are now considered a valid solution for the intestinal strictures caused by Crohn's disease, with results that are quite similar to those offered by resection, as demonstrated by the results of a meta-analysis reported by Tichansky et al [77].…”

Section: Jejunoileal and Ileocolic Crohn's Diseasementioning

confidence: 84%

Surgery and diagnostic imaging in abdominal Crohn’s disease

et al. 2013

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Surgery is well-established option for the treatment of Crohn's disease that is refractory to medical therapy and for complications of the disease, including strictures, fistulas, abscesses, bleeding that cannot be controlled endoscopically, and neoplastic degeneration. For a condition like Crohn's disease, where medical management is the rule, other indications for surgery are considered controversial, because the therapeutic effects of surgery are limited to the resolution of complications and the rate of recurrence is high, especially at sites of the surgical anastomosis. In the authors' opinion, however, surgery should not be considered a last-resort treatment: in a variety of situations, it should be regarded as an appropriate solution for managing this disease. Based on a review of the literature and their own experience, the authors examine some of the possibilities for surgical interventions in Crohn's disease and the roles played in these cases by diagnostic imaging modalities.Riassunto La chirurgia è un'opzione terapeutica consolidata per il trattamento della malattia di Crohn refrattaria alla terapia medica e per le complicanze legate a tale patologia quali stenosi, fistole, ascessi, sanguinamento non trattabile endoscopicamente, oltre che per i casi di degenerazione neoplastica. Per condizioni come la malattia di Crohn nelle quali il trattamento medico ha un ruolo primario, altre indicazioni per la chirurgia sono controverse, poiché i suoi effetti terapeutici sono limitati alla risoluzione delle complicanze, e la frequenza di recidive è alta, soprattutto a livello dell'anastomosi. Secondo l'opinione degli autori, tuttavia, la chirurgia non deve essere considerata come ultima opzione di trattamento: in diverse situazioni dovrebbe essere ritenuta come una soluzione adeguata nel trattamento multidisciplinare della patologia. Basandosi sulla revisione della letteratura corrente e sulla propria esperienza, gli autori hanno esaminato alcune possibilità di intervento chirurgico nella malattia di Crohn ed il ruolo che svolgono in queste condizioni le tecniche di imaging.

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