Colonoscopic balloon dilation of Crohn's strictures

Abstract

Colonoscopic balloon dilation of Crohn's strictures can achieve long-term clinical benefit in many patients. Repeat dilations are justified in initial non-responders. In this series, the procedure appears safe with low morbidity.

Endoscopy in patients on antiplatelet or anticoagulant therapy, including direct oral anticoagulants: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guidelines

“…Seven case series have reported no haemorrhages following ileal or colonic dilation. [161][162][163][164][165][166] Two further case series did however report haemorrhage associated with dilation of ileal or colonic strictures in 1/20 (5%) 167 and 1/38 (2.6%) patients. 168 One study included dilation of malignant strictures and encountered no haemorrhagic complication in 94 cases (68 malignant and 26 anastomotic strictures).…”

Guidelines for the management of Crohn’s disease. Recommendations of the Working Group of the Polish National Consultant in Gastroenterology and the Polish Society of Gastroenterology

“…gowo. Preferowaną techniką jest ich endoskopowe poszerzanie (w zależności od lokalizacji w czasie kolonoskopii lub enteroskopii dwubalonowej) [98][99][100]. Warunkiem bezpiecznego poszerzenia endoskopowego jest brak owrzodzeń oraz krótki odcinek zwężenia (do 4 cm).…”

Long-term results of endoscopic balloon dilatation of lower gastrointestinal tract strictures in Crohn’s disease: A prospective study

“…For some time, it has been possible to treat benign strictures of the upper gastrointestinal tract with endoscopic balloon dilatation. Over the past 20 years, this method has become increasingly used for symptomatic Crohn's strictures in the ileum or colon [5][6][7][8][9][10][11][12][13][14][15][16] . The available results indicate equal technical effectiveness of the endoscopic procedures when compared to surgical therapy.…”