Abstract
Endoscopic balloon dilatation of oesophageal and colonic strictures is now widely performed. Duodenal strictures due to Crohn's disease represent a difficult clinical problem as surgical intervention is a major undertaking and recurrences are common. We describe endoscopic balloon dilatation in three patients with obstructive symptoms from duodenal strictures due to Crohn's disease. The procedure appeared safe, was well tolerated and resulted in an excellent symptomatic response. This method is particularly suitable for short duodenal strictures and avoids the need for surgical intervention in this difficult group of patients.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Dehn T. C., Kettlewell M. G., Mortensen N. J., Lee E. C., Jewell D. P. Ten-year experience of strictureplasty for obstructive Crohn's disease. Br J Surg. 1989 Apr;76(4):339–341. doi: 10.1002/bjs.1800760407. [DOI] [PubMed] [Google Scholar]
- Frandsen P. J., Jarnum S., Malmstrøm J. Crohn's disease of the duodenum. Scand J Gastroenterol. 1980;15(6):683–688. doi: 10.3109/00365528009181515. [DOI] [PubMed] [Google Scholar]
- Högström H., Haglund U. A technique for endoscopic balloon dilatation of pyloric stenoses. Endoscopy. 1985 Nov;17(6):224–225. doi: 10.1055/s-2007-1018509. [DOI] [PubMed] [Google Scholar]
- Nugent F. W., Roy M. A. Duodenal Crohn's disease: an analysis of 89 cases. Am J Gastroenterol. 1989 Mar;84(3):249–254. [PubMed] [Google Scholar]
- Williams A. J., Palmer K. R. Endoscopic balloon dilatation as a therapeutic option in the management of intestinal strictures resulting from Crohn's disease. Br J Surg. 1991 Apr;78(4):453–454. doi: 10.1002/bjs.1800780421. [DOI] [PubMed] [Google Scholar]