Portal de Periódicos da CAPES

Nonsurgical strictureplasty for intestinal strictures in Crohn's disease: preliminary report of two cases

1997; Elsevier BV; Volume: 45; Issue: 2 Linguagem: Inglês

10.1016/s0016-5107(97)70243-8

1097-6779

Nobuyuki Matsuhashi, Atsushi Nakajima, Atsushi Suzuki, Masao Akanuma, Yoshio Yazaki, Masakazu Takazoe,

Esophageal and GI Pathology

Activity in Crohn's disease (CD) can be controlled to a certain extent by drug and/or nutritional therapy, but some patients must often undergo repeated surgery, mainly due to intestinal strictures. 1 de Dombal FT Burton I Goligher JC. The early and late results of surgical treatment for Crohn's disease. Br J Surg. 1971; 58: 805-816 Crossref PubMed Scopus (96) Google Scholar , 2 Whelan G Farmer RG Fazio VW Goormastic M. Recurrence after surgery in Crohn's disease. Gastroenterology. 1985; 88: 1826-1833 PubMed Google Scholar Partial intestinal resection and, in recent years, surgical strictureplasty 3 Katariya RN Sood S Rao PG Rao PL. Strictureplasty for tubercular strictures of the gastrointestinal tract. Br J Surg. 1977; 64: 496-498 Crossref PubMed Scopus (90) Google Scholar , 4 Lee EC. Surgery in Crohn's disease. in: Developments in gastroenterology.Vol I. Martinus Nijhof, The Hague1980 Google Scholar , 5 Alexander-Williams J Haynes IG. Up-to-date management of small bowel Crohn's disease. Adv Surg. 1987; 20: 245-264 PubMed Google Scholar have been adopted for such lesions. However, repeated surgery is a great burden to patients with CD. Balloon dilation has been tried, but with only comparatively limited effects. 6 Brower RA. Hydrostatic balloon dilation of a terminal ileal stricture secondary to Crohn's disease. Gastrointest Endosc. 1986; 32: 38-40 Abstract Full Text PDF PubMed Scopus (31) Google Scholar , 7 Kirtley DW Willis M Thomas E. Balloon dilation of recurrent terminal ileal Crohn's stricture. Gastrointest Endosc. 1987; 33: 399-400 Abstract Full Text PDF PubMed Scopus (15) Google Scholar , 8 Dobson HM Robertson DAR. Case report: balloon catheter dilatation of an ileocolic stricture. Clin Radiol. 1988; 39: 202-204 PubMed Scopus (16) Google Scholar , 9 Blomberg B Rolny P Jarnerot G. Endoscopic treatment of anastomotic strictures in Crohn's disease. Endoscopy. 1991; 23: 195-198 Crossref PubMed Scopus (130) Google Scholar Here we report a trial of nonsurgical strictureplasty by means of intestinal stents for two patients with intestinal strictures in CD.