Terminal ileal stricture in Crohn's disease: treatment using a metallic enteral endoprosthesis.
Enteral strictures are a frequent indication for surgery in Crohn's disease. Postoperative complications are increased in patients with poor preoperative nutritional status, which is common in this patient population. We present a 49-year-old female with longstanding Crohn's disease admitted to our Digestive Health Center with four weeks of increasing abdominal symptoms and radiographic evidence of small-bowel obstruction caused by ileal stricture. Given her poor nutritional status, our team elected to pursue metallic enteral stenting as a bridge to surgical resection. Two Wallstents were placed; luminal patency was subsequently confirmed by a fluoroscopic study. The patient tolerated regular diet and was discharged. When seen in follow-up, she remained asymptomatic and wished to defer surgical intervention indefinitely.
Bickston
S J
SJ
Digestive Health Center of Excellence, University of Virginia Health System, Charlottesville, Virginia 22908-0708, USA. Sjb8n@virginia.edu
Foley
E
E
Lawrence
C
C
Rockoff
T
T
Shaffer
H A
HA
Yeaton
P
P
D003287:Contrast Media; D003424:Crohn Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D004733:Enema; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000601:surgery*; D007421:Intestine, Small; D008875:Middle Aged; D015607:Stents; D014057:Tomography, X-Ray Computed
D003287:Contrast Media