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©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. May 7, 2018; 24(17): 1859-1867
Published online May 7, 2018. doi: 10.3748/wjg.v24.i17.1859
Published online May 7, 2018. doi: 10.3748/wjg.v24.i17.1859
Endoscopic management of Crohn’s strictures
Talat Bessissow, Jason Reinglas, Achuthan Aruljothy, Peter L Lakatos, Division of Gastroenterology, Department of Medicine, McGill University Health Center, Montreal, QC H3G1A4, Canada
Peter L Lakatos, 1st Department of Medicine, Semmelweis University, Budapest 1085, Hungary
Gert Van Assche, Division of Gastroenterology and Hepatology, University Hospitals Leuven, Belgium and University of Leuven, Leuven 3000, Belgium
Author contributions: All authors equally contributed to this paper with conception and design of the study, literature review and analysis, drafting, critical revision, editing, and final approval of the final revision.
Conflict-of-interest statement: None.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Talat Bessissow, MD, CM, FRCPC, Division of Gastroenterology, Department of Medicine, McGill University Health Center, Montreal, 1650 Cedar Avenue C7-200, Montreal, QC H3G1A4, Canada. talat.bessissow@mcgill.ca
Telephone: +1-514-9341934 Fax: +1-514-9348531
Received: March 10, 2018
Peer-review started: March 11, 2018
First decision: March 29, 2018
Revised: April 14, 2018
Accepted: April 23, 2018
Article in press: April 23, 2018
Published online: May 7, 2018
Peer-review started: March 11, 2018
First decision: March 29, 2018
Revised: April 14, 2018
Accepted: April 23, 2018
Article in press: April 23, 2018
Published online: May 7, 2018
Core Tip
Core tip: Endoscopic balloon dilation (EBD) for Crohn’s disease-related fibrostenotic strictures has been recognized as a safe, and less invasive intervention with rare complications that occur in less than 3% of procedures. EBD can replace or defer surgery and help avoid frequent intestinal resections, which result in short bowel syndrome and impair quality of life. For non-complex strictures without adjacent fistulization or perforation that are less than 5 cm in length, EBD should be considered as first-line therapy. In this review we discuss safety, short and long-term outcomes, as well as adjuvant techniques of intralesional injection of steroids, anti-tumor necrosis factor, and metal stent insertion.