| Literature DB >> 31954438 |
Bo Shen1, Gursimran Kochhar2, Udayakumar Navaneethan3, Francis A Farraye4, David A Schwartz5, Marietta Iacucci6, Charles N Bernstein7, Gerald Dryden8, Raymond Cross9, David H Bruining10, Taku Kobayashi11, Martin Lukas12, Amandeep Shergill13, Martin Bortlik12, Nan Lan14, Milan Lukas12, Shou-Jiang Tang15, Paulo Gustavo Kotze16, Ravi P Kiran17, Parambir S Dulai18, Sandra El-Hachem2, Nayantara Coelho-Prabhu10, Shyam Thakkar2, Ren Mao19, Guodong Chen20, Shengyu Zhang21, Begoña González Suárez22, Yago Gonzalez Lama23, Mark S Silverberg24, William J Sandborn18.
Abstract
Stricture formation is a common complication of Crohn's disease, resulting from the disease process, surgery, or drugs. Endoscopic balloon dilation has an important role in the management of strictures, with emerging techniques, such as endoscopic electroincision and stenting, showing promising results. The underlying disease process, altered bowel anatomy from disease or surgery, and concurrent use of immunosuppressive drugs can make endoscopic procedures more challenging. There is an urgent need for the standardisation of endoscopic procedures and peri-procedural management strategies. On the basis of an extensive literature review and the clinical experience of the consensus group, which consisted of representatives from the Interventional Inflammatory Bowel Disease Group, we propose detailed guidance on all aspects of the principles and techniques for endoscopic procedures in the treatment of inflammatory bowel disease-associated strictures.Entities:
Year: 2020 PMID: 31954438 DOI: 10.1016/S2468-1253(19)30366-8
Source DB: PubMed Journal: Lancet Gastroenterol Hepatol