[Endoscopic balloon dilatation of symptomatic strictures in Crohn's disease].
Between March 1990 and August 1993, eleven stenoses were dilated to a diameter of 25 mm by balloon catheter introduced through a coloscope in ten of 25 patients with Crohn's disease that had caused drug-resistant obstructions (five men, five women: mean age 45 [22-61] years). These patients had inactive Crohn's disease with 2-8 cm long stenoses in the rectum (n = 1), sigmoid colon (n = 2), terminal ileum (n = 2) or in the neoterminal ileum after a previous operation (n = 6). Nine of the eleven stenoses were successfully dilated, and seven of these eight patients continued to be pain-free during a follow-up period of 6-42 (average 17) months. The only complication was one case of bleeding. This experience indicates that endoscopic balloon dilatation is a valuable addition to surgical treatment in patients with inactive Crohn's disease associated with short, fibrotic stenoses.
Junge
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Medizinische Klinik der Städtischen Krankenanstalten Bielefeld-Rosenhöhe.
Züchner
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D000328:Adult; D002404:Catheterization / Q000379:methods*; D003106:Colon / Q000473:pathology; D003251:Constriction, Pathologic / Q000209:etiology / Q000628:therapy; D003424:Crohn Disease / Q000150:complications*; D016099:Endoscopy, Gastrointestinal; D005260:Female; D006801:Humans; D007082:Ileum / Q000473:pathology; D007422:Intestines / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D012007:Rectum / Q000473:pathology
Endoskopische Ballondilatation symptomatischer Strikturen bei Morbus Crohn.