Therapeutic options in the management of strictures in Crohn's disease

Peter E. Legnani, Asher Kornbluth

Research output: Contribution to journalReview articlepeer-review

33 Scopus citations

Abstract

Intestinal strictures are a commonly encountered problem in patients with Crohn's disease. Endoscopic management with hydrostatic balloon dilation is an effective alternative to surgery in patients with endoscopically accessible lesions that are shorter than 7-8 cm. Endoscopic balloon dilation is the preferred initial modality in anastomotic strictures. The presence of inflammation near the stricture should not be considered a contraindication to dilation, and intralesional steroid injection should be considered in these patients with inflammation present in the area of the stricture. Further technological developments in endoscopes and balloon dilators may allow for broader application of these techniques.

Original languageEnglish
Pages (from-to)589-603
Number of pages15
JournalGastrointestinal Endoscopy Clinics of North America
Volume12
Issue number3
DOIs
StatePublished - Jul 2002

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