Endoscopic balloon dilatation using double-balloon endoscopy is a useful and safe treatment for small intestinal strictures in Crohn's disease

Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society
Fumihito HiraiToshiyuki Matsui

Abstract

Endoscopic balloon dilatation (EBD) is a therapeutic option for intestinal strictures of Crohn's disease (CD). Double-balloon endoscopy (DBE) enables EBD to be performed even for deep-situated strictures of the small intestine. The aim of this study was to clarify the efficacy and safety of EBD using DBE for small bowel strictures in patients with CD. The subjects comprised 25 patients with CD who underwent EBD using DBE for small intestinal strictures for which a colonoscope or gastrointestinal scope could not be inserted. All subjects had obstructive symptoms due to strictures that were confirmed using small intestinal enteroclysis. They were observed for at least 6 months after the initial EBD. The short-term success rate of EBD using DBE, the complication rate and the long-term outcome were investigated. This procedure was successful with regard to short-term dilatation in 18 of the 25 CD patients (72%). Long strictures measuring more than 3 cm were seen in six out of seven (85.7%) of the unsuccessful EBD cases, compared with two out of 18 (11.1%) of the successful EBD cases (P=0.001). Complications were encountered in two of the 25 patients (8%). The cumulative surgery-free rate for all the subjects was 83% and 72% at 6 an...Continue Reading

References

May 1, 1991·Gastrointestinal Endoscopy·P B CottonN Nickl
Oct 1, 1990·Gastroenterology·P RutgeertsM Hiele
Nov 1, 1989·The British Journal of Surgery·S M GriffinA K Li
Apr 1, 1989·The British Journal of Surgery·J SayfanJ Alexander-Williams
Oct 1, 1995·Postgraduate Medical Journal·S M Kelly, J O Hunter
Dec 19, 2002·Gastrointestinal Endoscopy Clinics of North America·Peter E Legnani, Asher Kornbluth
Nov 20, 2004·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Hironori YamamotoKentaro Sugano
Mar 3, 2005·World Journal of Gastroenterology : WJG·Keijiro SunadaKentaro Sugano
Nov 16, 2006·Diseases of the Colon and Rectum·Eiki NomuraTooru Shimosegawa
Oct 3, 2007·Gastrointestinal Endoscopy·Akira FukumotoKentaro Sugano

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Citations

Jun 26, 2012·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Emanuele RondonottiHironori Yamamoto
Oct 20, 2012·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Yoichiro OnoKitaro Futami
Apr 30, 2013·Gut·Florian RiederWilliam J Sandborn
Apr 5, 2012·Diagnostic and Therapeutic Endoscopy·Matthew J Hamilton
Apr 5, 2012·Gastroenterology Research and Practice·Jörg G Albert
Jan 18, 2013·World Journal of Gastroenterology : WJG·Katsuya EndoTooru Shimosegawa
Jul 18, 2015·Clinical Journal of Gastroenterology·Akihiro ArakiMamoru Watanabe
Nov 5, 2013·Journal of Crohn's & Colitis·Vito AnneseUNKNOWN European Crohn's and Colitis Organisation
Nov 22, 2012·Gastrointestinal Endoscopy Clinics of North America·Rahul Pannala, Andrew S Ross
Apr 4, 2017·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Hironori YamamotoKazuma Fujimoto
Feb 11, 2018·Journal of Gastroenterology and Hepatology·Webber Pak Wo ChanRupert Wl Leong
Jan 1, 2014·Inflammatory Bowel Diseases·Mahesh BhalmeRobert P Willert
Dec 21, 2017·World Journal of Gastroenterology : WJG·Judith E BaarsArthur J Kaffes
Mar 8, 2019·Current Opinion in Gastroenterology·Stefania Chetcuti ZammitReena Sidhu
Aug 22, 2013·Clinical Endoscopy·Hirokazu YamagamiTetsuo Arakawa
May 23, 2014·Expert Review of Gastroenterology & Hepatology·Andrea Buda, Patrick I Okolo
Nov 12, 2016·World Journal of Gastroenterology : WJG·James Wt TohChristopher J Young
Feb 18, 2014·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Fumihito HiraiToshiyuki Matsui
May 20, 2017·Intestinal research·Fumihito Hirai
Aug 8, 2015·Current Opinion in Gastroenterology·Shayan Irani, Richard A Kozarek
Oct 24, 2014·European Journal of Gastroenterology & Hepatology·Akiko ShiotaniKen Haruma
Jun 15, 2019·Gastroenterology Research and Practice·Akiyoshi TsuboiKazuaki Chayama
Sep 17, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Makoto NaganumaHaruhiko Ogata
May 22, 2018·Gastroenterology Report·Shishira BharadwajMohammad Yaghoobi
Feb 1, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Yusuke HonzawaTsutomu Chiba
Nov 3, 2020·World Journal of Gastroenterology : WJG·Giovanni Di NardoVito Domenico Corleto
Jun 30, 2021·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Teruyuki TakedaKenshi Yao

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