Current status of endoscopic balloon dilation for Crohn's disease
Intestinal Research
;
: 166-173, 2017.
Artículo
en Inglés
| WPRIM
| ID: wpr-117646
ABSTRACT
The therapeutic target in Crohn's disease (CD) has been raised to the achievement of mucosal healing. Although effective treatments that target cytokines and other molecules has been widely used for CD, intestinal strictures are still a major cause of surgery. Endoscopic balloon dilation (EBD) is known to be an effective and safe intervention for intestinal strictures in CD. Since frequent intestinal resection often results in short bowel syndrome and can decrease the quality of life, EBD can help avoid surgery. EBD with a conventional colonoscope for Crohn's strictures of the colon and ileo-colonic anastomosis has established efficacy and safety. In addition, EBD using balloon-assisted enteroscopy has recently been applied for small bowel Crohn's strictures. Although the evidence is not strong, EBD may become an alternative to surgery in small bowel strictures in CD. EBD and other new methods such as self-expanding stent implantation for Crohn's strictures may be useful and safe; however, it is important to address several issues regarding these interventions and to establish a protocol for combined therapies.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Calidad de Vida
/
Síndrome del Intestino Corto
/
Enfermedad de Crohn
/
Stents
/
Citocinas
/
Colon
/
Constricción Patológica
/
Colonoscopios
Tipo de estudio:
Guía de Práctica Clínica
Idioma:
Inglés
Revista:
Intestinal Research
Año:
2017
Tipo del documento:
Artículo
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