Year 2020 / Volume 112 / Number 4
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Year 2020 / Volume 112 / Number 4

Original

Is endoscopic treatment of small bowel strictures effective and safe in patients with Crohn’s disease?

284-289

Yacqueline Valdés del Pino, Antonio Giordano, Miriam Escapa, Elena Ricart, Ingrid Ordás, Sonia Rodríguez, Jordi Rimola, Gloria Fernández-Esparrach, Àngels Ginès, Josep Llach, Julià Panés, Begoña González-Suárez,

Introduction: there is very little scientific evidence about the efficacy of endoscopic balloon dilation (EBD) performed with balloon-assisted enteroscopy (BAE) for the treatment of small bowel strictures (SBS) in Crohn’s disease (CD). Objective: to evaluate the efficacy and safety of EBD using BAE in patients with CD and SBS. Methods: a retrospective observational study was performed in a tertiary care medical center in patients with CD and SBS, evaluated by CT enterography or MRI enterography. Results: from 2009 to 2019, 205 endoscopic dilations were performed in 80 patients with CD. 17 (21.25 %) had only SBS and 70.6 % were male with a median age of 42.2 (±14.4) years. The mean follow-up was 37.8 ±28.7 months. A total of 39 dilations were performed, 94.1 % were native and less than 5cm long, all strictures were ulcerated. The overall technical success was 82.4 % and clinical success was 88.2 %. During follow-up, 23.5 % of patients required surgery and 29.4 % were re-dilated. The long-term efficacy was 76.5 % and no severe adverse events (AE) were observed. No factors were identified to predict the need for surgery after dilation. Conclusions: SBS can be safely and effectively treated with EBD using BAE, thus reducing the need for surgery in the long term.

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Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
© 2020 The Spanish Journal of Gastroenterology