title: Bougie dilators: simple, safe and cost-effective treatment for Crohn's-related fibrotic anal strictures.
abstract: Anal strictures with fibrotic induration have been shown to develop in up to 50% of all patients with Crohn's disease (CD) with anal ulceration. We evaluate the technical feasibility, safety and long-term efficacy of bougie dilation for a subgroup of patients with symptomatic Crohn's-related fibrotic anal strictures. Bougie dilation is simple to perform, relatively inexpensive and has a low risk of complications.
authors.affiliation: From the Division of Gastroenterology, Sunnybrook Health Sciences Centre, Department of Medicine, University of Toronto, Toronto, Ont.
authors.forename: Soleiman B
authors.initials: SB
authors.lastname: Kashkooli
authors.affiliation: From the Division of Gastroenterology, Sunnybrook Health Sciences Centre, Department of Medicine, University of Toronto, Toronto, Ont.
authors.forename: Sujon
authors.initials: S
authors.lastname: Samanta
authors.affiliation: From the Division of Gastroenterology, Sunnybrook Health Sciences Centre, Department of Medicine, University of Toronto, Toronto, Ont.
authors.forename: Mehrdad
authors.initials: M
authors.lastname: Rouhani
authors.affiliation: From the Division of Gastroenterology, Sunnybrook Health Sciences Centre, Department of Medicine, University of Toronto, Toronto, Ont.
authors.forename: Shoaleh
authors.initials: S
authors.lastname: Akbarzadeh
authors.affiliation: From the Division of Gastroenterology, Sunnybrook Health Sciences Centre, Department of Medicine, University of Toronto, Toronto, Ont.
authors.forename: Fred
authors.initials: F
authors.lastname: Saibil
mesh_terms: D000328:Adult; D001004:Anus Diseases / Q000209:etiology / Q000628:therapy*; D003251:Constriction, Pathologic / Q000209:etiology / Q000628:therapy; D003424:Crohn Disease / Q000150:complications*; D004106:Dilatation / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods / Q000592:standards; D005240:Feasibility Studies; D005355:Fibrosis / Q000209:etiology / Q000628:therapy; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D016896:Treatment Outcome