Fibrostenotic Crohn's disease.
Crohn's disease is often complicated by gastrointestinal strictures. Postoperative recurrence at the anastomotic site is common and repeated surgical interventions may be necessary. Medical treatment may relieve active inflammation (see chapter on active luminal disease) but fibrous strictures will not respond to this. Mechanical treatment methods consist of endoscopic balloon dilation, stricturoplasty or surgical resection. Fibrostenotic Crohn's disease does not respond to medical therapy and requires endoscopic or surgical treatment.
Froehlich
Florian
F
Division of Gastroenterology and Hepatology, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland. florian.froehlich@bluewin.ch
Juillerat
Pascal
P
Mottet
Christian
C
Pittet
Valérie
V
Felley
Christian
C
Vader
John-Paul
JP
Gonvers
Jean-Jacques
JJ
Michetti
Pierre
P
D002404:Catheterization / Q000379:methods; D003424:Crohn Disease / Q000150:complications* / Q000601:surgery; D013505:Digestive System Surgical Procedures / Q000379:methods; D016145:Endoscopy, Digestive System; D005355:Fibrosis / Q000209:etiology / Q000473:pathology / Q000601:surgery; D006801:Humans; D007079:Ileitis / Q000150:complications* / Q000628:therapy; D007415:Intestinal Obstruction / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome