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      Endoscopic solutions for stricturing Crohn's disease

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          Abstract

          Intestinal stenosis is a frequent and oftentimes recurring problem in patients with Crohn's disease, accompanied by a high-risk for bowel resection and subsequent short bowel syndrome. Medical therapy has not proven successful, and even the most conservative surgical options are hampered by a definite mortality rate (and high recurrence rates) without doubt. Technical improvements in endoscopic devices over recent years have created an operative subspecialty (therapeutic endoscopy) that can be applied to several gastrointestinal diseases. Endoscopic balloon dilatation (EBD) for Crohn's disease has been developed to prevent or delay the need for surgical resection. The endoscopy-assisted dilatation is a safe and effective treatment modality for uncomplicated, short Crohn's strictures, and therefore should be offered to Crohn's disease patients. Here, we briefly review the current knowledge on hydrostatic balloon dilatation and present a relevant case from our clinical practice.

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          Author and article information

          Journal
          1646
          121666
          Interventional Medicine and Applied Science
          IMAS
          Akadémiai Kiadó, co-published with Springer Science+Business Media B.V., Formerly Kluwer Academic Publishers B.V.
          2061-1617
          2061-5094
          1 June 2012
          : 4
          : 2
          : 74-77
          Affiliations
          [ 1 ] 2nd Department of Medicine, Semmelweis University, Budapest, Hungary
          [ 2 ] 2nd Department of Medicine, Semmelweis University, Szentkirályi u. 46, H-1088, Budapest, Hungary
          Author notes
          [* ] +36-20-825-0531, szmola@ 123456gmail.com
          Article
          3
          10.1556/imas.4.2012.2.3
          faf80dde-6c18-48d4-9e75-65312abe94db
          Categories
          Review

          Medicine,Immunology,Health & Social care,Microbiology & Virology,Infectious disease & Microbiology
          endoscopic balloon dilatation,Crohn's stricture,endoscopic therapy,Crohn's disease,therapeutic endoscopy

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