Treatment of inflammatory bowel disease-relevant strictures by double balloon enteroscopy / 中南大学学报(医学版)
Journal of Central South University(Medical Sciences)
;
(12): 911-915, 2019.
Article
in Chinese
| WPRIM
| ID: wpr-813070
ABSTRACT
To evaluate the safety and efficacy of endoscopic balloon dilation (EBD) and endoscopic stricturotomy with needle knife (NKSt) in patients with inflammatory bowel diseases (IBD)-relevant strictures.
Methods:
From July 2015 to September 2018, 14 patients undergoing double balloon-enteroscopy at the Third Xiangya Hospital of Central South University were enrolled. There was a total of 16 lesions. Endoscopic intervention was performed for 16 times. EBD was done for 11 times, and 5 stricturotomies were carried out. Regular follow-up and examinations were done to observe whether there was remission or recurrence of clinical symptoms and replacement surgery.Results:
All 14 patients were successfully treated by endoscopy, and the success rate was 100%. Postoperative clinical symptoms were alleviated, and serious complications, such as perforation or hemorrhaging, did not occur. Obstructive symptoms were effectively alleviated at a median follow-up of 26.1 months (5.9-35.3 months) and 8.3 months (1.6-17.8 months) for patients with balloon dilatation and stricturotomy, respectively. Two patients presented with symptoms of obstruction. These were given conservative symptomatic treatment without surgical intervention.Conclusion:
Enteroscopic treatments (EBD and NKSt) are safe and effective for intestinal strictures, and can prolong the time before surgical intervention is needed.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Inflammatory Bowel Diseases
/
Treatment Outcome
/
Constriction, Pathologic
/
Double-Balloon Enteroscopy
Limits:
Humans
Language:
Chinese
Journal:
Journal of Central South University(Medical Sciences)
Year:
2019
Type:
Article
Similar
MEDLINE
...
LILACS
LIS