Update of endoscopic management of Crohn’s disease strictures

Pokala, Akshay; Shen, Bo

doi:10.5217/ir.2019.09158

Cited by 16 publications

(7 citation statements)

References 24 publications

(33 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This suggests that BAE may play an important role in therapeutic decision making such as adjustment of medical treatment, surgical consultation, and endoscopic therapeutic intervention. 10 This study had several potential limitations. Firstly, we switched from the enteroscopy multicenter database registry to a novel web-based registry by the Small Intestine Research Group of the Korean Association for the Study of Intestinal Diseases in October 2015, and as the records were not merged, our records on patients in the second study period might be incomplete as it has disregarded those from the Small Intestine Research Group.…”

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

“…[5][6][7][8] Unlike CE, BAE can be performed on patients with stenosis of the SB and further aids in differential diagnosis by obtaining tissue specimen. 9,10 According to a study on double-balloon enteroscopy (DBE) in suspected CD (sCD) cases, SB involvement was found in 60% and therapeutic adjustments were initiated in 75% of patients. 11 Another study of CD patients with strictures reported that the technical success rate was 80% with the avoidance of surgery rate of 60%.…”

Section: Introductionmentioning

confidence: 99%

“… 5 - 8 Unlike CE, BAE can be performed on patients with stenosis of the SB and further aids in differential diagnosis by obtaining tissue specimen. 9 , 10 …”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Enteroscopy in Crohn’s Disease: Are There Any Changes in Role or Outcomes Over Time? A KASID Multicenter Study

Jeon

Goong

et al. 2021

Gut and Liver

View full text Add to dashboard Cite

Background/Aims: Although balloon-assisted enteroscopy (BAE) enables endoscopic visualization of small bowel (SB) involvement in Crohn's disease (CD), there is no data on the changes in outcomes over time. We therefore investigated the changes in BAE use on CD patients over different time periods in terms of its role and clinical outcomes. Methods:We used a multicenter enteroscopy database to identify CD patients with SB involvement who underwent BAE (131 procedures, 116 patients). We compared BAE-related factors and outcomes between the first period (70 procedures, 60 patients) and the second period (61 procedures, 56 patients). The specific cutoff point for dividing the two periods was 2007, when BAE guidelines were introduced.Results: Initial diagnosis of SB involvement in CD was the most common indication for BAE during each period (50.0% vs 31.1%, p=0.034). The largest change was in the number of BAE uses for stricture evaluation and/or treatment, which increased significantly in the latter period (2.9% vs 21.3%, p=0.002). The diagnostic yield in patients with suspected CD was 90.7% in the first period and 95.0% in the second (p=0.695). More endoscopic interventions were performed in the second period than in the first (5.1% vs 17.6%, p=0.041). Enteroscopic success rates were high throughout (100% in the first period vs 80.0% in the second period, p>0.999). In the first and second periods, therapeutic plans were adjusted in 62.7% and 61.4% of patients, respectively. Conclusions:The overall clinical indications, outcomes, and effectiveness of BAE were constant over time in CD patients with SB involvement, with the exception that the frequency of enteroscopic intervention increased remarkably. (Gut Liver 2021;15:375-382)

show abstract

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“… 5 - 8 Unlike CE, BAE can be performed on patients with stenosis of the SB and further aids in differential diagnosis by obtaining tissue specimen. 9 , 10 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Enteroscopy in Crohn’s Disease: Are There Any Changes in Role or Outcomes Over Time? A KASID Multicenter Study

Jeon

Goong

et al. 2021

Gut and Liver

View full text Add to dashboard Cite

show abstract

“…However, concurrent involvement of different system and organs is common, with possible hepato-pancreatobiliary, renal, musculoskeletal, dermatologic, pulmonary and ocular manifestations. 5,6 Ileocolowww.irjournal.org er diagnostic path. Therefore, the aim of this paper is to afford the clinician a wide overview on radiologic potential in CD assessment, explaining the basic technical notions and the main findings detectable in the use of each.…”

Section: Introductionmentioning

confidence: 99%

Crohn’s disease at radiological imaging: focus on techniques and intestinal tract

Cicero

Mazziotti

2021

Intest Res

View full text Add to dashboard Cite

noscopy with biopsy is considered the reference standard for achieving a definitive diagnosis, as it can access hard-to-reach areas of the small intestine and can replace surgery in treatment of strictures through balloon dilation. 7 However, the main limits include invasiveness, related risks (i.e., bowel perforation) and a partial evaluation, limited to the mucosal surface. 8 Therefore, radiological imaging is of paramount importance in the estimation of the whole intestinal involvement, not only for the initial evaluation, but also for follow-up monitoring and treatment response assessment. 9,10 Beyond the mere detection of intestinal lesions, it can provide useful data concerning characteristics of bowel wall thickening, which is helpful in distinguishing active inflammation from fibrosis, along with and valuable information on the surrounding tissues, where complications arise. 11 The constant development of novel technical tools and techniques is a benefit for improving the patient' s clinical framework. On the other hand, the different imaging modalities and the number of tools and techniques they are provided with can be confounding while establishing the prop

show abstract

Long-Term Outcome of Endoscopic Balloon Dilation for Duodenal Crohn’s Disease-Associated Strictures

Zhang

Diao

et al. 2020

Dig Dis Sci

View full text Add to dashboard Cite

Update of endoscopic management of Crohn’s disease strictures

Cited by 16 publications

References 24 publications

Enteroscopy in Crohn’s Disease: Are There Any Changes in Role or Outcomes Over Time? A KASID Multicenter Study

Enteroscopy in Crohn’s Disease: Are There Any Changes in Role or Outcomes Over Time? A KASID Multicenter Study

Crohn’s disease at radiological imaging: focus on techniques and intestinal tract

Long-Term Outcome of Endoscopic Balloon Dilation for Duodenal Crohn’s Disease-Associated Strictures

Contact Info

Product

Resources

About