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Endoscopic Balloon Dilation for Crohn’s Disease-Associated Strictures
Clinical Endoscopy ; : 429-436, 2017.
Artigo em Inglês | WPRIM | ID: wpr-178249
ABSTRACT
Management of intestinal strictures associated with Crohn's disease (CD) is clinically challenging despite advanced medical therapy directed toward mucosal healing to positively influence the natural course of CD-associated complications. Although medical therapy is available for inflammatory strictures, therapy of fibrostenotic strictures is the domain of surgery and endoscopy. Endoscopic balloon dilation (EBD) has been recognized as a well-established first-line procedure in terms of safety and efficacy. Although surgery is a valuable treatment modality for the management of CD-related strictures, EBD can help prevent multiple surgical interventions, which might in the long-term lead to a risk of short bowel syndrome. In this review we discuss requirements, techniques, safety, short- and long-term outcomes, as well as combinations of this procedure with surgical and medical treatment in CD-associated intestinal strictures.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Síndrome do Intestino Curto / Doença de Crohn / Constrição Patológica / Endoscopia Idioma: Inglês Revista: Clinical Endoscopy Ano de publicação: 2017 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Síndrome do Intestino Curto / Doença de Crohn / Constrição Patológica / Endoscopia Idioma: Inglês Revista: Clinical Endoscopy Ano de publicação: 2017 Tipo de documento: Artigo