title: Dilation of Strictures in Patients with Inflammatory Bowel Disease: Who, When and How.
abstract: Stricture formation occurs in up to 40% of patients with inflammatory bowel disease (IBD). Patients are often symptomatic, resulting in significant morbidity, hospitalizations, and loss of productivity. Strictures can be managed endoscopically in addition to traditional surgical management (sphincteroplasty or resection of the affected bowel segments). About 3% to 5% patients with IBD develop primary sclerosing cholangitis (PSC), which results in stricture formation in the biliary tree, managed for the most part by endoscopic therapies. In this article, we discuss endoscopic management of strictures both in the alimentary tract and biliary tree in patients with IBD and/or PSC.
authors.affiliation: Division of Gastroenterology and Hepatology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
authors.forename: Nayantara
authors.initials: N
authors.lastname: Coelho-Prabhu
authors.affiliation: Division of Gastroenterology and Hepatology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: martin.john3@mayo.edu.
authors.forename: John A
authors.initials: JA
authors.lastname: Martin
mesh_terms: D001652:Bile Ducts / Q000473:pathology / Q000601:surgery; D015209:Cholangitis, Sclerosing / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D003251:Constriction, Pathologic / Q000601:surgery; D004106:Dilatation / Q000379:methods*; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D007422:Intestines / Q000473:pathology / Q000601:surgery
keywords: Anastomoses; Biliary strictures; Dilation; Needle knife; Strictures