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. 2018 May 7;24(17):1859–1867. doi: 10.3748/wjg.v24.i17.1859

Table 3.

Practical considerations

Predictors favoring successful dilation[11,22-25] Symptomatic predominantly fibrotic stricture
Short (≤ 5 cm) stricture
Single straight stricture
Stricture distal to the duodenum
Anastomotic stricture more favorable than de novo stricture
First dilation
Lack of a superimposed process contributing to symptoms (e.g., SIBO or IBS)
Risk factors for complications[22-25] Predominantly inflammatory stricture without medical optimization
Stricture greater than 5 cm
Multiple small bowel strictures
Strictures caused by extrinsic compression (e.g., adhesions)
Fistulization within 5 cm of the area to be dilated
Adjacent perforation or intra-abdominal collection
Complete small bowel obstruction
Tortuous or tethered small bowel or significant stricture angulation
Duodenal stricture
1Short term outcome[15,18] 85%-95% (technical success), 70%-80% (clinical response)
2Long term outcome[15,18] 32% (year 1 post dilation), 80% (year 5 post dilation)
3Complication rate[25,45] 1%-4%
1

Short term outcome refers to the time elapsed immediately after the dilation takes place; technical success refers to the ability to successfully complete the dilation; clinical response refers to the symptomatic improvement of the patient immediately following the dilation;

2

Long term outcome refers to the percentage of patients requiring a repeat intervention;

3

Complication rate encompasses only major complications requiring urgent intervention such as bleeding, perforation and infection.