Endoscopic Stenting for Inflammatory Bowel Disease Strictures - 04/10/22

Résumé |
Strictures are among the most frequent complications in patients with Crohn's disease (CD), usually requiring a combined medical, surgical, and/or endoscopic approach to treatment. Currently, endoscopic balloon dilation (EBD) is the endoscopic treatment of choice, but its effectiveness is not universal, especially in the long term, and it is not free of complications. The technological evolution of stents in recent years has allowed their use in benign diseases of any origin and location, including inflammatory bowel disease (IBD). The current scientific evidence regarding the use of stents in strictures in IBD is limited and it should not be considered the first option in endoscopic treatment. Self-expandable metal stents (SEMS), but no biodegradable stents (BS), can work in cases that are refractory to anterior endoscopic treatment with EBD, in cases in which EBD is not possible, and in cases with strictures of greater length.
Le texte complet de cet article est disponible en PDF.Keywords : Inflammatory bowel disease, Crohn’s disease, Strictures, Endoscopic treatment, Stents, Self-expandable metal stent, Biodegradable stent, Endoscopic balloon dilation
Plan
Vol 32 - N° 4
P. 699-717 - octobre 2022 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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