Fibrostenotic Crohn's disease

被引:20
作者
Froehlich, Florian [1 ,2 ,3 ]
Juillerat, Pascal [1 ,2 ]
Mottet, Christian [1 ,2 ]
Pittet, Valerie [2 ]
Felley, Christian [1 ,2 ]
Vader, John-Paul [2 ]
Gonvers, Jean-Jacques [1 ,2 ]
Michetti, Pierre [1 ,2 ]
机构
[1] CHU Vaudois, Policlin Med Univ, Div Gastroenterol & Hepatol, CH-1011 Lausanne, Switzerland
[2] Univ Lausanne, Inst Social & Prevent Med, Healthcare Evaluat Unit, Lausanne, Switzerland
[3] Univ Basel, Gastrointestinal Dept, Basel, Switzerland
关键词
Crohn's disease; stenosis; obstruction; strictures; surgical resection; stricturoplasty; balloon dilation;
D O I
10.1159/000111025
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Crohn's disease is often complicated by gastrointestinal strictures. Postoperative recurrence at the anastomotic site is common and repeated surgical interventions may be necessary. Medical treatment may relieve active inflammation (see chapter on active luminal disease) but fibrous strictures will not respond to this. Mechanical treatment methods consist of endoscopic balloon dilation, stricturoplasty or surgical resection. Fibrostenotic Crohn's disease does not respond to medical therapy and requires endoscopic or surgical treatment. Copyright (C) 2008 S. Karger AG, Basel.
引用
收藏
页码:113 / 115
页数:3
相关论文
共 19 条
[1]   Long-acting steroid injection after endoscopic dilation of anastomotic Crohn's strictures may improve the outcome: A retrospective case series [J].
Brooker, JC ;
Beckett, CG ;
Saunders, BP ;
Benson, MJ .
ENDOSCOPY, 2003, 35 (04) :333-337
[2]   EFFICACY AND SAFETY OF HYDROSTATIC BALLOON DILATATION OF ILEOCOLONIC CROHNS STRICTURES - A PROSPECTIVE LONG-TERM ANALYSIS [J].
COUCKUYT, H ;
GEVERS, AM ;
COREMANS, G ;
HIELE, M ;
RUTGEERTS, P .
GUT, 1995, 36 (04) :577-580
[3]   Long-term results and multivariate analysis of prognostic factors in 138 consecutive patients operated on for Crohn's disease using "bowel-sparing" techniques [J].
Cristaldi, M ;
Sampietro, GM ;
Danelli, P ;
Bollani, S ;
Porro, GB ;
Taschieri, AM .
AMERICAN JOURNAL OF SURGERY, 2000, 179 (04) :266-270
[4]   Colonoscopic hydrostatic balloon dilatation of Crohn's strictures [J].
Dear, KLE ;
Hunter, JO .
JOURNAL OF CLINICAL GASTROENTEROLOGY, 2001, 33 (04) :315-318
[5]  
Dietz DW, 2001, J AM COLL SURGEONS, V192, P330, DOI 10.1016/S1072-7515(01)00775-X
[6]   LONG-TERM FOLLOW-UP OF STRICTUREPLASTY IN CROHNS-DISEASE [J].
FAZIO, VW ;
TJANDRA, JJ ;
LAVERY, IC ;
CHURCH, JM ;
MILSOM, JW ;
OAKLEY, JR .
DISEASES OF THE COLON & RECTUM, 1993, 36 (04) :355-361
[7]   Effect of resection margins on the recurrence of Crohn's disease in the small bowel - A randomized controlled trial [J].
Fazio, VW ;
Marchetti, F ;
Church, JM ;
Goldblum, JR ;
Lavery, IC ;
Hull, TL ;
Milsom, JW ;
Strong, SA ;
Oakley, JR ;
Secic, M .
ANNALS OF SURGERY, 1996, 224 (04) :563-571
[8]   Long-term follow-up of strictureplasty for Crohn's disease [J].
Fearnhead, NS ;
Chowdhury, R ;
Box, B ;
George, BD ;
Jewell, DP ;
Mortensen, NJM .
BRITISH JOURNAL OF SURGERY, 2006, 93 (04) :475-482
[9]   Obstructive fibrostenotic Crohn's disease [J].
Froehlich, F ;
Juillerat, P ;
Mottet, C ;
Felley, C ;
Vader, JP ;
Burnand, B ;
Gonvers, JJ ;
Michetti, P .
DIGESTION, 2005, 71 (01) :29-30
[10]   Anti-TNF antibodies in the treatment of inflammatory intestinal stenoses in Crohn's disease [J].
Holtmann, M ;
Wanitschke, R ;
Helisch, A ;
Bartenstein, P ;
Galle, PR ;
Neurath, M .
ZEITSCHRIFT FUR GASTROENTEROLOGIE, 2003, 41 (01) :11-17