Long-term outcome of endoscopic balloon dilation for small bowel strictures in patients with Crohn's disease
Background and Aim Endoscopic balloon dilation (EBD) is an alternative to surgery for small bowel strictures of patients with Crohn's disease (CD). However, little is known about the long‐term efficacy of EBD. The aim of the present study was to clarify the long‐term outcome of EBD for small bo...
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| Published in | Digestive endoscopy Vol. 26; no. 4; pp. 545 - 551 |
|---|---|
| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Australia
Blackwell Publishing Ltd
01.07.2014
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0915-5635 1443-1661 1443-1661 |
| DOI | 10.1111/den.12236 |
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| Abstract | Background and Aim
Endoscopic balloon dilation (EBD) is an alternative to surgery for small bowel strictures of patients with Crohn's disease (CD). However, little is known about the long‐term efficacy of EBD. The aim of the present study was to clarify the long‐term outcome of EBD for small bowel strictures in patients with CD.
Methods
Subjects comprised 65 patients with CD who underwent EBD for small intestinal strictures and were followed up for at least 6 months. All subjects had obstructive symptoms as a result of small bowel strictures. Short‐term success was defined as technical success and the disappearance of obstructive symptoms. The short‐term success rate of EBD, its safety profile, the cumulative surgery‐free rate and the cumulative redilation‐free rate were investigated.
Results
Short‐term success rate was 80.0% (52/65). Complications were encountered in six of the 65 patients (9.2%). Seventeen patients (26.2%) underwent surgery during the observation period of this study. Cumulative surgery‐free rate after initial EBD was 79% at 2 years and 73% at 3 years, respectively. EBD successful cases showed significantly higher surgery‐free rates than unsuccessful cases (P < 0.0001). In 52 of the successful cases, the cumulative redilation‐free rate after initial EBD was 64% at 2 years and 47% at 3 years, respectively.
Conclusion
EBD for small bowel strictures secondary to CD provides not only short‐term success but also long‐term efficacy. However, the high redilation rate is one of the clinical problems of this procedure. |
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| AbstractList | Endoscopic balloon dilation (EBD) is an alternative to surgery for small bowel strictures of patients with Crohn's disease (CD). However, little is known about the long-term efficacy of EBD. The aim of the present study was to clarify the long-term outcome of EBD for small bowel strictures in patients with CD.
Subjects comprised 65 patients with CD who underwent EBD for small intestinal strictures and were followed up for at least 6 months. All subjects had obstructive symptoms as a result of small bowel strictures. Short-term success was defined as technical success and the disappearance of obstructive symptoms. The short-term success rate of EBD, its safety profile, the cumulative surgery-free rate and the cumulative redilation-free rate were investigated.
Short-term success rate was 80.0% (52/65). Complications were encountered in six of the 65 patients (9.2%). Seventeen patients (26.2%) underwent surgery during the observation period of this study. Cumulative surgery-free rate after initial EBD was 79% at 2 years and 73% at 3 years, respectively. EBD successful cases showed significantly higher surgery-free rates than unsuccessful cases (P < 0.0001). In 52 of the successful cases, the cumulative redilation-free rate after initial EBD was 64% at 2 years and 47% at 3 years, respectively.
EBD for small bowel strictures secondary to CD provides not only short-term success but also long-term efficacy. However, the high redilation rate is one of the clinical problems of this procedure. Endoscopic balloon dilation (EBD) is an alternative to surgery for small bowel strictures of patients with Crohn's disease (CD). However, little is known about the long-term efficacy of EBD. The aim of the present study was to clarify the long-term outcome of EBD for small bowel strictures in patients with CD.BACKGROUND AND AIMEndoscopic balloon dilation (EBD) is an alternative to surgery for small bowel strictures of patients with Crohn's disease (CD). However, little is known about the long-term efficacy of EBD. The aim of the present study was to clarify the long-term outcome of EBD for small bowel strictures in patients with CD.Subjects comprised 65 patients with CD who underwent EBD for small intestinal strictures and were followed up for at least 6 months. All subjects had obstructive symptoms as a result of small bowel strictures. Short-term success was defined as technical success and the disappearance of obstructive symptoms. The short-term success rate of EBD, its safety profile, the cumulative surgery-free rate and the cumulative redilation-free rate were investigated.METHODSSubjects comprised 65 patients with CD who underwent EBD for small intestinal strictures and were followed up for at least 6 months. All subjects had obstructive symptoms as a result of small bowel strictures. Short-term success was defined as technical success and the disappearance of obstructive symptoms. The short-term success rate of EBD, its safety profile, the cumulative surgery-free rate and the cumulative redilation-free rate were investigated.Short-term success rate was 80.0% (52/65). Complications were encountered in six of the 65 patients (9.2%). Seventeen patients (26.2%) underwent surgery during the observation period of this study. Cumulative surgery-free rate after initial EBD was 79% at 2 years and 73% at 3 years, respectively. EBD successful cases showed significantly higher surgery-free rates than unsuccessful cases (P < 0.0001). In 52 of the successful cases, the cumulative redilation-free rate after initial EBD was 64% at 2 years and 47% at 3 years, respectively.RESULTSShort-term success rate was 80.0% (52/65). Complications were encountered in six of the 65 patients (9.2%). Seventeen patients (26.2%) underwent surgery during the observation period of this study. Cumulative surgery-free rate after initial EBD was 79% at 2 years and 73% at 3 years, respectively. EBD successful cases showed significantly higher surgery-free rates than unsuccessful cases (P < 0.0001). In 52 of the successful cases, the cumulative redilation-free rate after initial EBD was 64% at 2 years and 47% at 3 years, respectively.EBD for small bowel strictures secondary to CD provides not only short-term success but also long-term efficacy. However, the high redilation rate is one of the clinical problems of this procedure.CONCLUSIONEBD for small bowel strictures secondary to CD provides not only short-term success but also long-term efficacy. However, the high redilation rate is one of the clinical problems of this procedure. Background and Aim Endoscopic balloon dilation (EBD) is an alternative to surgery for small bowel strictures of patients with Crohn's disease (CD). However, little is known about the long‐term efficacy of EBD. The aim of the present study was to clarify the long‐term outcome of EBD for small bowel strictures in patients with CD. Methods Subjects comprised 65 patients with CD who underwent EBD for small intestinal strictures and were followed up for at least 6 months. All subjects had obstructive symptoms as a result of small bowel strictures. Short‐term success was defined as technical success and the disappearance of obstructive symptoms. The short‐term success rate of EBD, its safety profile, the cumulative surgery‐free rate and the cumulative redilation‐free rate were investigated. Results Short‐term success rate was 80.0% (52/65). Complications were encountered in six of the 65 patients (9.2%). Seventeen patients (26.2%) underwent surgery during the observation period of this study. Cumulative surgery‐free rate after initial EBD was 79% at 2 years and 73% at 3 years, respectively. EBD successful cases showed significantly higher surgery‐free rates than unsuccessful cases (P < 0.0001). In 52 of the successful cases, the cumulative redilation‐free rate after initial EBD was 64% at 2 years and 47% at 3 years, respectively. Conclusion EBD for small bowel strictures secondary to CD provides not only short‐term success but also long‐term efficacy. However, the high redilation rate is one of the clinical problems of this procedure. |
| Author | Hirai, Fumihito Hisabe, Takashi Ninomiya, Kazeo Ono, Yoichiro Takatsu, Noritaka Beppu, Takahiro Yano, Yutaka Matsui, Toshiyuki |
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| Keywords | Crohn's disease endoscopic balloon dilation small bowel stricture balloon-assisted enteroscopy |
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| References | Singh VV, Draganov P, Valentine J. Efficacy and safety of endoscopic balloon dilation of symptomatic upper and lower gastrointestinal Crohn's disease strictures. J. Clin. Gastroenterol. 2005; 39: 284-290. Futami K, Arima S. Role of strictureplasty in surgical treatment of Crohn's disease. J. Gastroenterol. 2005; 40 (Suppl 16): 35-39. Thomas-Gibson S, Brooker JC, Hayward CM et al. Colonic balloon dilation of Crohn's strictures: A review of long-term outcomes. Eur. J. Gastroenterol. Hepatol. 2003; 15: 485-488. Munkholm P, Langholz E, Davidsen M et al. Disease activity courses in a regional cohort of Crohn's disease patients. Scand. J. Gastroenterol. 1995; 30: 699-706. Couckuyt H, Gevers AM, Coremans G et al. Efficacy and safety of hydrostatic balloon dilation of ileocolonic Crohn's strictures: A prospective longterm analysis. Gut 1995; 36: 577-580. Scimeca D, Mocciaro F, Cottone M et al. Efficacy and safety of endoscopic balloon dilation of symptomatic intestinal Crohn's disease strictures. Dig. Liver Dis. 2011; 43: 121-125. Lindhagen T, Ekelund G, Leandoer L et al. Crohn's disease in a defined population course and results of surgical treatment. I. Small bowel disease. Acta Chir. Scand. 1983; 149: 407-413. Farmer RG, Whelan G, Fazio VW. Long-term follow-up of patients with Crohn's disease. Relationship between the clinical pattern and prognosis. Gastroenterology 1985; 88: 1818-1825. Thienpont C, D'Hoore A, Vermeire S et al. Long-term outcome of endoscopic dilation in patients with Crohn's disease is not affected by disease activity or medical therapy. Gut 2010; 59: 320-324. Yamamoto H, Kita H, Sunada K et al. Clinical outcomes of double-balloon endoscopy for the diagnosis and treatment of small intestinal disease. Clin. Gastroenterol. Hepatol. 2004; 2: 1010-1016. Fukumoto A, Tanaka S, Yamamoto H et al. Diagnosis and treatment of small-bowel stricture by double balloon endoscopy. Gastrointest. Endosc. 2007; 66: S108-112. Ferlitsch A, Reinisch W, Püspök A et al. Safety and efficacy of endoscopic balloon dilation for treatment of Crohn's disease strictures. Endoscopy 2006; 38: 483-487. Harper PH, Fazio VW, Lavery IC et al. The long-term outcome in Crohn's disease. Dis. Colon Rectum 1987; 30: 174-179. Matsui T, Ikeda K, Tsuda S et al. Long-term outcome of endoscopic balloon dilation in obstructive gastrointestinal Crohn's disease: A prospective long-term study. Diagn. Ther. Endosc. 2000; 6: 67-75. Greenstein AJ, Zhang LP, Miller AT et al. Relationship of the number of Crohn's strictures and strictureplasties to postoperative recurrence. J. Am. Coll. Surg. 2009; 208: 1065-1070. Nomura E, Takagi S, Kikuchi T et al. Efficacy and safety of endoscopic balloon dilation for Crohn's disease. Dis. Colon Rectum 2006; 49: S59-67. Hellers G. Crohn's disease in Stockholm county 1955-1974. A study of epidemiology, results of surgical treatment and long-term prognosis. Acta Chir. Scand. 1979; 490 (Suppl): 1-84. Bernell O, Lapidus A, Hellers G. Risk factors for surgery and postoperative recurrence in Crohn's disease. Ann. Surg. 2000; 231: 38-45. Hirai F, Beppu T, Sou S et al. Endoscopic balloon dilation using double-balloon endoscopy is a useful and safe treatment for small intestinal strictures in Crohn's disease. Dig. Endosc. 2010; 22: 200-204. Dietz DW, Laureti S, Strong SA et al. Safety and longterm efficacy of strictureplasty in 314 patients with obstructing small bowel Crohn's disease. J. Am. Coll. Surg. 2001; 192: 330-338. Hirai F, Beppu T, Nishimura T et al. Carbon dioxide insufflation compared with air insufflation in double-balloon enteroscopy: A prospective, randomized, double-blind trial. Gastrointest. Endosc. 2011; 73: 743-749. Irani S, Balmadrid G, Seven A et al. Balloon dilation of benign small bowel strictures using double balloon enteroscopy: 5-year review from a single tertiary referral center. Gastrointest. Interv. 2012; 1: 74-78. Ohmiya N, Arakawa D, Nakamura M et al. Small-bowel obstruction: Diagnostic comparison between double-balloon endoscopy and fluoroscopic enteroclysis, and the outcome of enteroscopic treatment. Gastrointest. Endosc. 2009; 69: 84-93. Despott EJ, Gupta A, Burling D et al. Effective dilation of small-bowel strictures by double-balloon enteroscopy in patients with symptomatic Crohn's disease (with video). Gastrointest. Endosc. 2009; 70: 1030-1036. Ono Y, Hirai F, Matsui T et al. Value of concomitant endoscopic balloon dilation for intestinal stricture during long-term infliximab therapy in patients with Crohn's disease. Dig. Endosc. 2012; 24: 432-438. Mueller T, Rieder B, Bechtner G et al. The response of Crohn's strictures to endoscopic balloon dilation. Aliment. Pharmacol. Ther. 2010; 31: 634-639. Hassan C, Zullo A, De Francesco V et al. Systematic review: Endoscopic dilation in Crohn's disease. Aliment. Pharmacol. Ther. 2007; 26: 1457-1464. Blomberg B, Rolny P, Jamerot G. Endoscopic treatment of anastomotic strictures in Crohn's disease. Endoscopy 1991; 23: 195-198. Sabate JM, Villarejo J, Bouhnik Y et al. Hydrostatic balloon dilation of Crohn's strictures. Aliment. Pharmacol. Ther. 2003; 18: 409-413. 1995; 30 2009; 69 2010; 31 2010; 59 1987; 30 2000; 6 1995; 36 2006; 38 2005; 40 2003; 15 2000; 231 2003; 18 2004; 2 1985; 88 1979; 490 1983; 149 2010; 22 2012; 1 1991; 23 2009; 70 2001; 192 2006; 49 2011; 73 2011; 43 2012; 24 2009; 208 2005; 39 2007; 66 2007; 26 |
| References_xml | – reference: Scimeca D, Mocciaro F, Cottone M et al. Efficacy and safety of endoscopic balloon dilation of symptomatic intestinal Crohn's disease strictures. Dig. Liver Dis. 2011; 43: 121-125. – reference: Blomberg B, Rolny P, Jamerot G. Endoscopic treatment of anastomotic strictures in Crohn's disease. Endoscopy 1991; 23: 195-198. – reference: Ono Y, Hirai F, Matsui T et al. Value of concomitant endoscopic balloon dilation for intestinal stricture during long-term infliximab therapy in patients with Crohn's disease. Dig. Endosc. 2012; 24: 432-438. – reference: Harper PH, Fazio VW, Lavery IC et al. The long-term outcome in Crohn's disease. Dis. Colon Rectum 1987; 30: 174-179. – reference: Matsui T, Ikeda K, Tsuda S et al. Long-term outcome of endoscopic balloon dilation in obstructive gastrointestinal Crohn's disease: A prospective long-term study. Diagn. Ther. Endosc. 2000; 6: 67-75. – reference: Futami K, Arima S. Role of strictureplasty in surgical treatment of Crohn's disease. J. Gastroenterol. 2005; 40 (Suppl 16): 35-39. – reference: Mueller T, Rieder B, Bechtner G et al. The response of Crohn's strictures to endoscopic balloon dilation. Aliment. Pharmacol. Ther. 2010; 31: 634-639. – reference: Fukumoto A, Tanaka S, Yamamoto H et al. Diagnosis and treatment of small-bowel stricture by double balloon endoscopy. Gastrointest. Endosc. 2007; 66: S108-112. – reference: Bernell O, Lapidus A, Hellers G. Risk factors for surgery and postoperative recurrence in Crohn's disease. Ann. Surg. 2000; 231: 38-45. – reference: Hellers G. Crohn's disease in Stockholm county 1955-1974. A study of epidemiology, results of surgical treatment and long-term prognosis. Acta Chir. Scand. 1979; 490 (Suppl): 1-84. – reference: Farmer RG, Whelan G, Fazio VW. Long-term follow-up of patients with Crohn's disease. Relationship between the clinical pattern and prognosis. Gastroenterology 1985; 88: 1818-1825. – reference: Munkholm P, Langholz E, Davidsen M et al. Disease activity courses in a regional cohort of Crohn's disease patients. Scand. J. Gastroenterol. 1995; 30: 699-706. – reference: Greenstein AJ, Zhang LP, Miller AT et al. Relationship of the number of Crohn's strictures and strictureplasties to postoperative recurrence. J. Am. Coll. Surg. 2009; 208: 1065-1070. – reference: Hirai F, Beppu T, Sou S et al. Endoscopic balloon dilation using double-balloon endoscopy is a useful and safe treatment for small intestinal strictures in Crohn's disease. Dig. Endosc. 2010; 22: 200-204. – reference: Despott EJ, Gupta A, Burling D et al. Effective dilation of small-bowel strictures by double-balloon enteroscopy in patients with symptomatic Crohn's disease (with video). Gastrointest. Endosc. 2009; 70: 1030-1036. – reference: Sabate JM, Villarejo J, Bouhnik Y et al. Hydrostatic balloon dilation of Crohn's strictures. Aliment. Pharmacol. Ther. 2003; 18: 409-413. – reference: Thomas-Gibson S, Brooker JC, Hayward CM et al. Colonic balloon dilation of Crohn's strictures: A review of long-term outcomes. Eur. J. Gastroenterol. Hepatol. 2003; 15: 485-488. – reference: Dietz DW, Laureti S, Strong SA et al. Safety and longterm efficacy of strictureplasty in 314 patients with obstructing small bowel Crohn's disease. J. Am. Coll. Surg. 2001; 192: 330-338. – reference: Ohmiya N, Arakawa D, Nakamura M et al. Small-bowel obstruction: Diagnostic comparison between double-balloon endoscopy and fluoroscopic enteroclysis, and the outcome of enteroscopic treatment. Gastrointest. Endosc. 2009; 69: 84-93. – reference: Thienpont C, D'Hoore A, Vermeire S et al. Long-term outcome of endoscopic dilation in patients with Crohn's disease is not affected by disease activity or medical therapy. Gut 2010; 59: 320-324. – reference: Irani S, Balmadrid G, Seven A et al. Balloon dilation of benign small bowel strictures using double balloon enteroscopy: 5-year review from a single tertiary referral center. Gastrointest. Interv. 2012; 1: 74-78. – reference: Singh VV, Draganov P, Valentine J. Efficacy and safety of endoscopic balloon dilation of symptomatic upper and lower gastrointestinal Crohn's disease strictures. J. Clin. Gastroenterol. 2005; 39: 284-290. – reference: Ferlitsch A, Reinisch W, Püspök A et al. Safety and efficacy of endoscopic balloon dilation for treatment of Crohn's disease strictures. Endoscopy 2006; 38: 483-487. – reference: Couckuyt H, Gevers AM, Coremans G et al. Efficacy and safety of hydrostatic balloon dilation of ileocolonic Crohn's strictures: A prospective longterm analysis. Gut 1995; 36: 577-580. – reference: Hassan C, Zullo A, De Francesco V et al. Systematic review: Endoscopic dilation in Crohn's disease. Aliment. Pharmacol. Ther. 2007; 26: 1457-1464. – reference: Yamamoto H, Kita H, Sunada K et al. Clinical outcomes of double-balloon endoscopy for the diagnosis and treatment of small intestinal disease. Clin. Gastroenterol. Hepatol. 2004; 2: 1010-1016. – reference: Hirai F, Beppu T, Nishimura T et al. Carbon dioxide insufflation compared with air insufflation in double-balloon enteroscopy: A prospective, randomized, double-blind trial. Gastrointest. Endosc. 2011; 73: 743-749. – reference: Lindhagen T, Ekelund G, Leandoer L et al. Crohn's disease in a defined population course and results of surgical treatment. I. Small bowel disease. Acta Chir. Scand. 1983; 149: 407-413. – reference: Nomura E, Takagi S, Kikuchi T et al. Efficacy and safety of endoscopic balloon dilation for Crohn's disease. Dis. Colon Rectum 2006; 49: S59-67. – volume: 22 start-page: 200 year: 2010 end-page: 204 article-title: Endoscopic balloon dilation using double‐balloon endoscopy is a useful and safe treatment for small intestinal strictures in Crohn's disease publication-title: Dig. Endosc. – volume: 6 start-page: 67 year: 2000 end-page: 75 article-title: Long‐term outcome of endoscopic balloon dilation in obstructive gastrointestinal Crohn's disease: A prospective long‐term study publication-title: Diagn. Ther. Endosc. – volume: 70 start-page: 1030 year: 2009 end-page: 1036 article-title: Effective dilation of small‐bowel strictures by double‐balloon enteroscopy in patients with symptomatic Crohn's disease (with video) publication-title: Gastrointest. Endosc. – volume: 40 start-page: 35 issue: Suppl 16 year: 2005 end-page: 39 article-title: Role of strictureplasty in surgical treatment of Crohn's disease publication-title: J. Gastroenterol. – volume: 15 start-page: 485 year: 2003 end-page: 488 article-title: Colonic balloon dilation of Crohn's strictures: A review of long‐term outcomes publication-title: Eur. J. Gastroenterol. Hepatol. – volume: 66 start-page: S108 year: 2007 end-page: 112 article-title: Diagnosis and treatment of small‐bowel stricture by double balloon endoscopy publication-title: Gastrointest. Endosc. – volume: 192 start-page: 330 year: 2001 end-page: 338 article-title: Safety and longterm efficacy of strictureplasty in 314 patients with obstructing small bowel Crohn's disease publication-title: J. Am. Coll. Surg. – volume: 49 start-page: S59 year: 2006 end-page: 67 article-title: Efficacy and safety of endoscopic balloon dilation for Crohn's disease publication-title: Dis. Colon Rectum – volume: 38 start-page: 483 year: 2006 end-page: 487 article-title: Safety and efficacy of endoscopic balloon dilation for treatment of Crohn's disease strictures publication-title: Endoscopy – volume: 23 start-page: 195 year: 1991 end-page: 198 article-title: Endoscopic treatment of anastomotic strictures in Crohn's disease publication-title: Endoscopy – volume: 1 start-page: 74 year: 2012 end-page: 78 article-title: Balloon dilation of benign small bowel strictures using double balloon enteroscopy: 5‐year review from a single tertiary referral center publication-title: Gastrointest. Interv. – volume: 30 start-page: 174 year: 1987 end-page: 179 article-title: The long‐term outcome in Crohn's disease publication-title: Dis. Colon Rectum – volume: 231 start-page: 38 year: 2000 end-page: 45 article-title: Risk factors for surgery and postoperative recurrence in Crohn's disease publication-title: Ann. Surg. – volume: 24 start-page: 432 year: 2012 end-page: 438 article-title: Value of concomitant endoscopic balloon dilation for intestinal stricture during long‐term infliximab therapy in patients with Crohn's disease publication-title: Dig. Endosc. – volume: 208 start-page: 1065 year: 2009 end-page: 1070 article-title: Relationship of the number of Crohn's strictures and strictureplasties to postoperative recurrence publication-title: J. Am. Coll. Surg. – volume: 31 start-page: 634 year: 2010 end-page: 639 article-title: The response of Crohn's strictures to endoscopic balloon dilation publication-title: Aliment. Pharmacol. Ther. – volume: 43 start-page: 121 year: 2011 end-page: 125 article-title: Efficacy and safety of endoscopic balloon dilation of symptomatic intestinal Crohn's disease strictures publication-title: Dig. Liver Dis. – volume: 39 start-page: 284 year: 2005 end-page: 290 article-title: Efficacy and safety of endoscopic balloon dilation of symptomatic upper and lower gastrointestinal Crohn's disease strictures publication-title: J. Clin. Gastroenterol. – volume: 30 start-page: 699 year: 1995 end-page: 706 article-title: Disease activity courses in a regional cohort of Crohn's disease patients publication-title: Scand. J. Gastroenterol. – volume: 2 start-page: 1010 year: 2004 end-page: 1016 article-title: Clinical outcomes of double‐balloon endoscopy for the diagnosis and treatment of small intestinal disease publication-title: Clin. Gastroenterol. Hepatol. – volume: 73 start-page: 743 year: 2011 end-page: 749 article-title: Carbon dioxide insufflation compared with air insufflation in double‐balloon enteroscopy: A prospective, randomized, double‐blind trial publication-title: Gastrointest. Endosc. – volume: 149 start-page: 407 year: 1983 end-page: 413 article-title: Crohn's disease in a defined population course and results of surgical treatment. I. Small bowel disease publication-title: Acta Chir. Scand. – volume: 36 start-page: 577 year: 1995 end-page: 580 article-title: Efficacy and safety of hydrostatic balloon dilation of ileocolonic Crohn's strictures: A prospective longterm analysis publication-title: Gut – volume: 490 start-page: 1 issue: Suppl year: 1979 end-page: 84 article-title: Crohn's disease in Stockholm county 1955–1974. A study of epidemiology, results of surgical treatment and long‐term prognosis publication-title: Acta Chir. Scand. – volume: 26 start-page: 1457 year: 2007 end-page: 1464 article-title: Systematic review: Endoscopic dilation in Crohn's disease publication-title: Aliment. Pharmacol. Ther. – volume: 88 start-page: 1818 year: 1985 end-page: 1825 article-title: Long‐term follow‐up of patients with Crohn's disease. Relationship between the clinical pattern and prognosis publication-title: Gastroenterology – volume: 18 start-page: 409 year: 2003 end-page: 413 article-title: Hydrostatic balloon dilation of Crohn's strictures publication-title: Aliment. Pharmacol. Ther. – volume: 59 start-page: 320 year: 2010 end-page: 324 article-title: Long‐term outcome of endoscopic dilation in patients with Crohn's disease is not affected by disease activity or medical therapy publication-title: Gut – volume: 69 start-page: 84 year: 2009 end-page: 93 article-title: Small‐bowel obstruction: Diagnostic comparison between double‐balloon endoscopy and fluoroscopic enteroclysis, and the outcome of enteroscopic treatment publication-title: Gastrointest. Endosc. |
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| Snippet | Background and Aim
Endoscopic balloon dilation (EBD) is an alternative to surgery for small bowel strictures of patients with Crohn's disease (CD). However,... Endoscopic balloon dilation (EBD) is an alternative to surgery for small bowel strictures of patients with Crohn's disease (CD). However, little is known about... |
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| SubjectTerms | Adult balloon-assisted enteroscopy Crohn Disease - complications Crohn's disease Dilatation - methods endoscopic balloon dilation Endoscopy, Gastrointestinal - methods Female Humans Intestinal Obstruction - etiology Intestinal Obstruction - pathology Intestinal Obstruction - therapy Intestine, Small Male small bowel stricture Treatment Outcome |
| Title | Long-term outcome of endoscopic balloon dilation for small bowel strictures in patients with Crohn's disease |
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