Skip to main content

Advertisement

SpringerLink
Log in

Comparison of strictureplasty and endoscopic balloon dilatation for stricturing Crohn’s disease—review of the literature

  • Review
  • Published:
International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

Background

Stricturing Crohn’s disease is accompanied by a high-risk for bowel resection and subsequent short bowel syndrome. Strictureplasty (SP) and endoscopic balloon dilatation (EBD) have been developed to prevent, or at least delay, the requirement for resection. The goal of this study was to compare the outcome of these two procedures with regard to complications and disease recurrence.

Methods

We conducted a MEDLINE literature search to give a current overview about the safety and efficacy of EBD and SP.

Results

The initial search yielded 744 articles. Case reports, reviews and meta-analyses were excluded. Finally, 63 articles (SP, 40 articles; EBD, 23 articles) were used for the review. None of the studies compared the two methods directly. A total of 2,532 patients (SP, n = 1,958; EBD, n = 574) were included. The incidence of perioperative complications after SP was 11% and the incidence of major complications was 5%. The median surgical recurrence rate was 24% after a median follow-up of 46 months. The median technical success for EBD was 90%. Major complications occurred in 3% of the cases. According to an intention-to-treat protocol, the median surgical recurrence rate was 27.6%. Per-protocol analysis revealed a median surgical recurrence rate of 21.4% after a median follow-up of 21 months.

Conclusion

Due to the lack of comparable data, there is currently no reliable information on whether one treatment option is superior to the other. Regarding the limited applicability of EBD in strictures of the small bowel, only a controlled trial would provide evidence as a basis for clinical decision making in CD strictures that are potentially treatable by EBD and SP.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Bernstein CN, Blanchard JF, Rawsthorne P et al (2006) The epidemiology of inflammatory bowel disease in Canada: a population-based study. Am J Gastroenterol 101:1559–1568

    Article  PubMed  Google Scholar 

  2. Pavlovic-Calic N, Salkic NN, Gegic A, Smajic M, Alibegovic E (2008) Crohn’s disease in Tuzla region of Bosnia and Herzegovina: a 12-year study (1995-2006). Int J Colorectal Dis 23:957–964

    Article  PubMed  Google Scholar 

  3. Shivananda S, Lennard-Jones J, Logan R, Fear N, Price A, Carpenter L, van Blankenstein M (1996) Incidence of inflammatory bowel disease across Europe: is there a difference between north and south? Results of the European Collaborative Study on Inflammatory Bowel Disease. Gut 39:690–697

    Article  CAS  PubMed  Google Scholar 

  4. Jess T, Loftus EV Jr, Harmsen WS, Zinsmeister AR, Tremaine WJ, Melton LJ 3rd, Munkholm P, Sandborn WJ (2006) Survival and cause specific mortality in patients with inflammatory bowel disease: a long-term outcome study in Olmsted County, Minnesota, 1940-2004. Gut 55:1248–1254

    Article  CAS  PubMed  Google Scholar 

  5. Ott C, Obermeier F, Thieler S, Kemptner D, Bauer A, Schölmerich J, Rogler G, Timmer A (2008) The incidence of inflammatory bowel disease in a rural region of Southern Germany: a prospective population-based study. Eur J Gastroenterol Hepatol 20:917–923

    Article  PubMed  Google Scholar 

  6. Stange EF, Schreiber S, Fölsch UR, von Herbay A, Schölmerich J, Hoffmann J, Zeitz M, Fleig WE, Buhr HJ, Kroesen AJ, Moser G, Matthes H, Adler G, Reinshagen M, Stein J, German Society for Digestive and Metabolic Diseases (2003) Diagnostics and treatment of Crohn’s disease—results of an evidence-based consensus conference of the German Society for Digestive and Metabolic Diseases. Z Gastroenterol 41:19–20

    Article  CAS  PubMed  Google Scholar 

  7. Timmer A, Breuer-Katschinski B, Goebell H (1999) Time trends in the incidence and disease location of Crohn’s disease 1980-1995: a prospective analysis in an urban population in Germany. Inflamm Bowel Dis 5:79–84

    Article  CAS  PubMed  Google Scholar 

  8. Loftus EV, Schoenfeld P, Sandborn WJ (2002) The epidemiology and natural history of Crohn’s disease in population-based patient cohorts from North America: a systematic review. Aliment Pharmacol Therap 16:51–60

    Article  Google Scholar 

  9. Hoffmann JC, Preiss JC, Autschbach F, Buhr HJ, Häuser W, Herrlinger K, Höhne W, Koletzko S, Krieglstein CF, Kruis W, Matthes H, Moser G, Reinshagen M, Rogler G, Schreiber S, Schreyer AG, Sido B, Siegmund B, Stallmach A, Bokemeyer B, Stange EF, Zeitz M (2008) Clinical practice guideline on diagnosis and treatment of Crohn’s disease. Z Gastroenterol 46:1094–1146

    Article  CAS  PubMed  Google Scholar 

  10. Louis E, Collard A, Oger AF, Degroote E, Aboul Nasr El Yafi FA, Belaiche J (2001) Behaviour of Crohn’s disease according to the Vienna classification: changing pattern over the course of the disease. Gut 49:777–782

    Article  CAS  PubMed  Google Scholar 

  11. Gasche C, Schölmerich J, Brynskov J, D’Haens G, Hanauer SB, Irvine EJ (2002) A simple classification of Crohn’s disease: report of Working Party for the World Congress of Gastroenterology, Vienna 1998. Inflamm Bowel Dis 6:8–15

    Article  Google Scholar 

  12. Solberg IC, Vatn MH, Høie O, Stray N, Sauar J, Jahnsen J, Moum B, Lygren I, IBSEN Study Group (2007) Clinical course in Crohn’s disease: results of a Norwegian population-based ten-year follow-up study. Clin Gastroenterol Hepatol 5:1430–1438

    Article  PubMed  Google Scholar 

  13. Brenmoehl J, Falk W, Göke M, Schölmerich J, Rogler G (2008) Inflammation modulates fibronectin isoform expression in colonic lamina propria fibroblasts (CLPF). Int J Colorectal Dis 23:947–955

    Article  PubMed  Google Scholar 

  14. Cosnes J, Cattan S, Blain A, Beaugerie L, Carbonnel F, Parc R, Gendre JP (2002) Long-term evolution of disease behavior of Crohn’s disease. Inflamm Bowel Dis 8:244–250

    Article  PubMed  Google Scholar 

  15. Cosnes J, Nion-Larmurier I, Beaugerie L, Afchain P, Tiret E, Gendre JP (2005) Impact of the increasing use of immunosuppressants in Crohn’s disease on the need for intestinal surgery. Gut 54:237–241

    Article  CAS  PubMed  Google Scholar 

  16. Cao Y, Gao F, Liao C, Tan A, Mo Z (2009) Meta-analysis of medical treatment and placebo treatment for preventing postoperative recurrence in Crohn’s disease (CD). Int J Colorectal Dis 24:509–520

    Article  PubMed  Google Scholar 

  17. Reese GE, Nanidis T, Borysiewicz C, Yamamoto T, Orchard T, Tekkis PP (2008) The effect of smoking after surgery for Crohn’s disease: a meta-analysis of observational studies. Int J Colorectal Dis 23:1213–1221

    Article  PubMed  Google Scholar 

  18. Heuman R, Boeryd B, Bolin T, Sjödahl R (1983) The influence of disease at the margin of resection on the outcome of Crohn’s disease. Br J Surg 70:519–521

    Article  CAS  PubMed  Google Scholar 

  19. Pennington L, Hamilton SR, Bayless TM, Cameron JL (1980) Surgical management of Crohn’s disease. Influence of disease at margin of resection. Ann Surg 192:311–318

    Article  CAS  PubMed  Google Scholar 

  20. Fazio VW, Marchetti F, Church M, Goldblum JR, Lavery C, Hull TL, Milsom JW, Strong SA, Oakley JR, Secic M (1996) Effect of resection margins on the recurrence of Crohn’s disease in the small bowel. A randomized controlled trial. Ann Surg 224:563–571

    Article  CAS  PubMed  Google Scholar 

  21. Wolters FL, Russel MG, Stockbrügger RW (2004) Systematic review: has disease outcome in Crohn’s disease changed during the last four decades? Aliment Pharmacol Ther 20:483–496

    Article  CAS  PubMed  Google Scholar 

  22. McLeod RS, Wolff BG, Ross S, Parkes R, McKenzie M, Investigators of the CAST Trial (2009) Recurrence of Crohn’s disease after ileocolic resection is not affected by anastomotic type: results of a multicenter, randomized, controlled trial. Dis Colon Rectum 52:919–927

    PubMed  Google Scholar 

  23. Travis SP, Stange EF, Lémann M, Oresland T, Chowers Y, Forbes A, D’Haens G, Kitis G, Cortot A, Prantera C, Marteau P, Colombel JF, Gionchetti P, Bouhnik Y, Tiret E, Kroesen J, Starlinger M, Mortensen NJ, European Crohn’s and Colitis Organisation (2006) European evidence based consensus on the diagnosis and management of Crohn’s disease: current management. Gut 55(Suppl 1):i16–i35

    Article  PubMed  Google Scholar 

  24. Iesalnieks I, Kilger A, Glass H, Müller-Wille R, Klebl F, Ott C, Strauch U, Piso P, Schlitt HJ, Agha A (2008) Intraabdominal septic complications following bowel resection for Crohn’s disease: detrimental influence on long-term outcome. Int J Colorectal Dis 23:1167–1174

    Article  PubMed  Google Scholar 

  25. Katariya RN, Sood S, Rao PG, Rao PL (1977) Stricture-plasty for tubercular strictures of the gastro-intestinal tract. Br J Surg 64:496–498

    Article  CAS  PubMed  Google Scholar 

  26. Lee EC, Papaioannou N (1982) Minimal surgery for chronic obstruction in patients with extensive or universal Crohn’s disease. Ann R Coll Surg Engl 64:229–233

    CAS  PubMed  Google Scholar 

  27. Yamamoto T, Fazio VW, Tekkis PP (2007) Safety and efficacy of strictureplasty for Crohn’s disease: a systematic review and meta-analysis. Dis Colon Rectum 50:1968–1986

    Article  PubMed  Google Scholar 

  28. Yuan JG, Sachar DB, Koganei K, Greenstein AJ (1994) Enterolithiasis, refractory anemia, and strictures of Crohn’s disease. J Clin Gastroenterol 18:105–108

    Article  CAS  PubMed  Google Scholar 

  29. Michelassi F (1996) Side-to-side isoperistaltic strictureplasty for multiple Crohn’s strictures. Dis Colon Rectum 39:345–349

    Article  CAS  PubMed  Google Scholar 

  30. Poggioli G, Stocchi L, Laureti S et al (1997) Conservative surgical management of terminal ileitis: side-to-side enterocolic anastomosis. Dis Colon Rectum 40:234–239

    Article  CAS  PubMed  Google Scholar 

  31. Di Abriola GF, De Angelis P, Dall’oglio L, Di Lorenzo M (2003) Strictureplasty: an alternative approach in long segment bowel stenosis Crohn’s disease. J Pediatr Surg 38:814–818

    Article  PubMed  Google Scholar 

  32. Gaetini A, DeSimone M, Resegotti A (1989) Our experience with strictureplasty in the surgical treatment of Crohn’s disease. Hepatogastroenterology 36:511–515

    CAS  PubMed  Google Scholar 

  33. Sasaki I, Shibata C, Funayama Y et al (2004) New reconstructive procedure after intestinal resection for Crohn’s disease: modified side-to-side isoperistaltic anastomosis with double Heineke-Mikulicz procedure. Dis Colon Rectum 47:940–943

    Article  PubMed  Google Scholar 

  34. Oliva L, Wyllie R, Alexander F et al (1994) The results of strictureplasty in pediatric patients with multifocal Crohn’s disease. J Pediatr Gastroenterol Nutr 18:306–310

    Article  CAS  PubMed  Google Scholar 

  35. Kendall GP, Hawley PR, Nicholls RJ, Lennard-Jones JE (1986) Strictureplasty. A good operation for small bowel Crohn’s disease? Dis Colon Rectum 29:312–316

    Article  CAS  PubMed  Google Scholar 

  36. Pritchard TJ, Schoetz DJ Jr, Caushaj FP et al (1990) Strictureplasty of the small bowel in patients with Crohn’s disease. An effective surgical option. Arch Surg 125:715–717

    CAS  PubMed  Google Scholar 

  37. Yamamoto T, Bain IM, Connolly AB, Allan RN, Keighley MR (1999) Outcome of strictureplasty for duodenal Crohn’s disease. Br J Surg 86:259–262

    Article  CAS  PubMed  Google Scholar 

  38. Worsey MJ, Hull T, Ryland L, Fazio V (1999) Strictureplasty is an effective option in the operative management of duodenal Crohn’s disease. Dis Colon Rectum 42:596–600

    Article  CAS  PubMed  Google Scholar 

  39. Roy P, Kumar D (2006) Strictureplasty for active Crohn’s disease. Int J Colorectal Dis 21:427–432

    Article  PubMed  Google Scholar 

  40. Silverman RE, McLeod RS, Cohen Z (1989) Strictureplasty in Crohn’s disease. Can Assoc Clin Surg 32:19–22

    CAS  Google Scholar 

  41. Rentsch M, Beham A, Schlitt HJ, Jauch KW (2006) Crohn’s disease activity index and Vienna classification—is it worthwhile to calculate before surgery? Dig Surg 23:241–249

    Article  CAS  PubMed  Google Scholar 

  42. Laurent S, Detry O, Detroz B et al (2002) Strictureplasty in Crohn’s disease: short- and long-term follow-up. Acta Chir Belg 102:253–255

    CAS  PubMed  Google Scholar 

  43. Keighley MR (1991) Stapled strictureplasty for Crohn’s disease. Dis Colon Rectum 34:945–947

    Article  CAS  PubMed  Google Scholar 

  44. Fichera A, Lovadina S, Rubin M, Cimino F, Hurst RD, Michelassi F (2006) Patterns and operative treatment of recurrent Crohn’s disease: a prospective longitudinal study. Surgery 140:649–654

    Article  PubMed  Google Scholar 

  45. Quandalle P, Gambiez L, Colombel JF, Paris JC, Cortot A (1994) Long-term follow-up of strictureplasty in Crohn’s disease. Acta Gastroenterol Belg 57:314–319

    CAS  PubMed  Google Scholar 

  46. Roy P, Kumar D (2006) Intervention-free interval following strictureplasty for Crohn’s Disease. World J Surg 30:1020–1026

    Article  PubMed  Google Scholar 

  47. Broering DC, Eisenberger CF, Koch A et al (2001) Strictureplasty for large bowel stenosis in Crohn’s disease: quality of life after surgical therapy. Int J Colorectal Dis 16:81–87

    Article  CAS  PubMed  Google Scholar 

  48. Tonelli F, Fedi M, Paroli GM, Fazi M (2004) Indications and results of side-to-side isoperistaltic strictureplasty in Crohn’s disease. Dis Colon Rectum 47:494–501

    Article  PubMed  Google Scholar 

  49. Dasari BV, Maxwell R, Gardiner KR (2010) Assessment of complications following strictureplasty for small bowel Crohn’s Disease. Ir J Med Sci 179:201–205

    Article  CAS  PubMed  Google Scholar 

  50. Spencer MP, Nelson H, Wolff BG, Dozois RR (1994) Strictureplasty for obstructive Crohn’s disease: the Mayo experience. Mayo Clin Proc 69:33–36

    CAS  PubMed  Google Scholar 

  51. Yamamoto T, Keighley MRB (1999) Follow up of more than 10 years after strictureplasty for jejunileal Crohn’s disease: long-term results and predictive factors for outcome. Colorectal Dis 1:101–106

    Article  Google Scholar 

  52. Serra J, Cohen Z, McLeod RS (1995) Natural history of strictureplasty in Crohn’s disease: 9-year experience. Can J Surg 38:481–485

    CAS  PubMed  Google Scholar 

  53. Tonelli F, Ficari F (2000) Strictureplasty in Crohn’s disease: surgical option. Dis Colon Rectum 43:920–926

    Article  CAS  PubMed  Google Scholar 

  54. Cristaldi M, Sampietro GM, Danelli PG, Bollani S, Bianchi Porro G, Taschieri AM (2000) Long-term results and multivariate analysis of prognostic factors in 138 consecutive patients operated on for Crohn’s disease using “bowel-sparing” techniques. Am J Surg 179:266–270

    Article  CAS  PubMed  Google Scholar 

  55. Stebbing JF, Jewell DP, Kettlewell MG, Mortensen NJ (1995) Recurrence and reoperation after strictureplasty for obstructive Crohn’s disease: long-term results [corrected]. Br J Surg 82:1471–1474, Erratum in. Br J Surg 1996;83:131

    Article  CAS  PubMed  Google Scholar 

  56. Hurst RD, Michelassi F (1998) Strictureplasty for Crohn’s disease: techniques and long-term results. World J Surg 22:359–363

    Article  CAS  PubMed  Google Scholar 

  57. Shatari T, Clark MA, Yamamoto T, Menon A, Keh C, Alexander-Williams J, Keighley M (2004) Long strictureplasty is as safe and effective as short strictureplasty in small-bowel Crohn’s disease. Colorectal Dis 6:438–441

    Article  CAS  PubMed  Google Scholar 

  58. Baba S, Nakai K (1995) Strictureplasty for Crohn’s disease in Japan. J Gastroenterol 30(Suppl 8):135–138

    PubMed  Google Scholar 

  59. Greenstein AJ, Zhang LP, Miller AT, Yung E, Branco BC, Sachar DB, Greenstein AJ (2009) Relationship of the number of Crohn’s strictures and strictureplasties to postoperative recurrence. J Am Coll Surg 208:1065–1070

    Article  PubMed  Google Scholar 

  60. Fearnhead NS, Chowdhury R, Box B, George BD, Jewell DP, Mortensen NJ (2006) Long-term follow-up of strictureplasty for Crohn’s disease. Br J Surg 93:475–482

    Article  CAS  PubMed  Google Scholar 

  61. Sampietro GM, Cristaldi M, Maconi G et al (2004) A prospective, longitudinal study of nonconventional strictureplasty in Crohn’s disease. J Am Coll Surg 199:82

    Article  Google Scholar 

  62. Futami K, Arima S (2005) Role of strictureplasty in surgical treatment of Crohn’s disease. J Gastroenterol 40(Suppl 16):35–39

    Article  PubMed  Google Scholar 

  63. Yamamoto T, Bain IM, Allan RN, Keighley MR (1999) An audit of strictureplasty for small-bowel Crohn’s disease. Dis Colon Rectum 42:797–803

    Article  CAS  PubMed  Google Scholar 

  64. Ozuner G, Fazio VW, Lavery IC, Church JM, Hull TL (1996) How safe is strictureplasty in the management of Crohn’s disease? Am J Surg 171:57–61

    Article  CAS  PubMed  Google Scholar 

  65. Michelassi F, Taschieri A, Tonelli F, Sasaki I, Poggioli G, Fazio V, Upadhyay G, Hurst R, Sampietro GM, Fazi M, Funayama Y, Pierangeli F (2007) An international, multicenter, prospective, observational study of the side-to-side isoperistaltic strictureplasty in Crohn’s disease. Dis Colon Rectum 50:277–284

    Article  PubMed  Google Scholar 

  66. Dietz DW, Laureti S, Strong SA et al (2001) Safety and longterm efficacy of strictureplasty in 314 patients with obstructing small bowel Crohn’s disease. J Am Coll Surg 192:330–338

    Article  CAS  PubMed  Google Scholar 

  67. Kozarek RA (1986) Hydrostatic balloon dilation of gastrointestinal stenoses: a national survey. Gastrointest Endosc 32:15–19

    Article  CAS  PubMed  Google Scholar 

  68. Brower RA (1986) Hydrostatic balloon dilation of a terminal ileal stricture secondary to Crohn’s disease. Gastrointest Endosc 32:38–40

    Article  CAS  PubMed  Google Scholar 

  69. Matsui T, Hatakeyama S, Ikeda K, Yao T, Takenaka K, Sakurai T (1997) Long-term outcome of endoscopic balloon dilation in obstructive gastroduodenal Crohn’s disease. Endoscopy 29:640–645

    Article  CAS  PubMed  Google Scholar 

  70. Williams AJ, Palmer KR (1991) Endoscopic balloon dilatation as a therapeutic option in the management of intestinal strictures resulting from Crohn’s disease. Br J Surg 78:453–454

    Article  CAS  PubMed  Google Scholar 

  71. Tsujikawa T, Saitoh Y, Andoh A, Imaeda H, Hata K, Minematsu H, Senoh K, Hayafuji K, Ogawa A, Nakahara T, Sasaki M, Fujiyama Y (2008) Novel single-balloon enteroscopy for diagnosis and treatment of the small intestine: preliminary experiences. Endoscopy 40:11–15

    Article  CAS  PubMed  Google Scholar 

  72. Junge U, Züchner H (1994) Endoscopic balloon dilatation of symptomatic strictures in Crohn’s disease. Dtsch Med Wochenschr 119:1377–1382

    Article  CAS  PubMed  Google Scholar 

  73. Pohl J, May A, Nachbar L, Ell C (2007) Diagnostic and therapeutic yield of push-and-pull enteroscopy for symptomatic small bowel Crohn’s disease strictures. Eur J Gastroenterol Hepatol 19:529–534

    Article  PubMed  Google Scholar 

  74. Ramboer C, Verhamme M, Dhondt E, Huys S, Van Eygen K, Vermeire L (1995) Endoscopic treatment of stenosis in recurrent Crohn’s disease with balloon dilation combined with local corticosteroid injection. Gastrointest Endosc 42:252–255

    Article  CAS  PubMed  Google Scholar 

  75. East JE, Brooker JC, Rutter MD, Saunders BP (2007) A pilot study of intrastricture steroid versus placebo injection after balloon dilatation of Crohn’s strictures. Clin Gastroenterol Hepatol 5:1065–1069

    Article  PubMed  Google Scholar 

  76. Brooker JC, Beckett CG, Saunders BP, Benson MJ (2003) Long-acting steroid injection after endoscopic dilation of anastomotic Crohn’s strictures may improve the outcome: a retrospective case series. Endoscopy 35:333–337

    Article  CAS  PubMed  Google Scholar 

  77. Singh VV, Draganov P, Valentine J (2005) Efficacy and safety of endoscopic balloon dilation of symptomatic upper and lower gastrointestinal Crohn’s disease strictures. J Clin Gastroenterol 39:284–290

    Article  PubMed  Google Scholar 

  78. Breysem Y, Janssens JF, Coremans G, Vantrappen G, Hendrickx G, Rutgeerts P (1992) Endoscopic balloon dilation of colonic and ileo-colonic Crohn’s strictures: long-term results. Gastrointest Endosc 38:142–147

    Article  CAS  PubMed  Google Scholar 

  79. Foster EN, Quiros JA, Prindiville TP (2008) Long-term follow-up of the endoscopic treatment of strictures in pediatric and adult patients with inflammatory bowel disease. J Clin Gastroenterol 42:880–885

    Article  PubMed  Google Scholar 

  80. Dear KL, Hunter JO (2001) Colonoscopic hydrostatic balloon dilatation of Crohn’s strictures. J Clin Gastroenterol 33:315–318

    Article  CAS  PubMed  Google Scholar 

  81. Fukumoto A, Tanaka S, Yamamoto H, Yao T, Matsui T, Iida M, Goto H, Sakamoto C, Chiba T, Sugano K (2007) Diagnosis and treatment of small-bowel stricture by double balloon endoscopy. Gastrointest Endosc 66:S108–S112

    Article  PubMed  Google Scholar 

  82. Stienecker K, Gleichmann D, Neumayer U, Glaser HJ, Tonus C (2009) Long-term results of endoscopic balloon dilatation of lower gastrointestinal tract strictures in Crohn’s disease: a prospective study. World J Gastroenterol 15:2623–2627

    Article  PubMed  Google Scholar 

  83. Hoffmann JC, Heller F, Faiss S, von Lampe B, Kroesen AJ, Wahnschaffe U, Schulzke JD, Zeitz M, Bojarski C (2008) Through the endoscope balloon dilation of ileocolonic strictures: prognostic factors, complications, and effectiveness. Int J Colorectal Dis 23:689–696

    Article  PubMed  Google Scholar 

  84. Blomberg B, Rolny P, Jarnerot G (1991) Endoscopic treatment of anastomotic strictures in Crohn’s disease. Endoscopy 23:195–198

    Article  CAS  PubMed  Google Scholar 

  85. Raedler A, Peters I, Schreiber S (1997) Treatment with azathioprine and budesonide prevents reoccurrence of ileocolonic stenoses after endoscopic dilatation in Crohn’s disease (Abstract). Gastroenterology 112:A1067

    Google Scholar 

  86. Ajlouni Y, Iser JH, Gibson PR (2007) Endoscopic balloon dilatation of intestinal strictures in Crohn’s disease: safe alternative to surgery. J Gastroenterol Hepatol 22:486–490

    Article  PubMed  Google Scholar 

  87. Sabate JM, Villarejo J, Bouhnik Y et al (2003) Hydrostatic balloon dilatation of Crohn’s strictures. Aliment Pharmacol Ther 18:409–413

    Article  PubMed  Google Scholar 

  88. Morini S, Hassan C, Lorenzetti R et al (2003) Long-term outcome of endoscopic pneumatic dilatation in Crohn’s disease. Dig Liver Dis 35:893–897

    Article  CAS  PubMed  Google Scholar 

  89. Ferlitsch A, Reinisch W, Puspok A et al (2006) Safety and efficacy of endoscopic balloon dilation for treatment of Crohn’s disease strictures. Endoscopy 38:483–487

    Article  CAS  PubMed  Google Scholar 

  90. Couckuyt H, Gevers AM, Coremans G, Hiele M, Rutgeerts P (1995) Efficacy and safety of hydrostatic balloon dilatation of ileocolonic Crohn’s strictures: a prospective longterm analysis. Gut 36:577–580

    Article  CAS  PubMed  Google Scholar 

  91. Thomas-Gibson S, Brooker JC, Hayward CM, Shah SG, Williams CB, Saunders BP (2003) Colonoscopic balloon dilation of Crohn’s strictures: a review of long-term outcomes. Eur J Gastroenterol Hepatol 15:485–488

    Article  PubMed  Google Scholar 

  92. Tichansky D, Cagir B, Yoo E, Marcus SM, Fry RD (2000) Strictureplasty for Crohn’s disease: meta-analysis. Dis Colon Rectum 43:911–919

    Article  CAS  PubMed  Google Scholar 

  93. Hassan C, Zullo A, De Francesco V, Ierardi E, Giustini M, Pitidis A, Taggi F, Winn S, Morini S (2007) Systematic review: endoscopic dilatation in Crohn’s disease. Aliment Pharmacol Ther 26:1457–1464

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of General, Thoracic and Vascular Surgery, Charité Universitaetsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Germany

    Andreas G. Wibmer, Anton J. Kroesen, Jörn Gröne, Heinz-Johannes Buhr & Joerg-Peter Ritz

Authors
  1. Andreas G. Wibmer
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Anton J. Kroesen
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jörn Gröne
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Heinz-Johannes Buhr
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Joerg-Peter Ritz
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Joerg-Peter Ritz.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wibmer, A.G., Kroesen, A.J., Gröne, J. et al. Comparison of strictureplasty and endoscopic balloon dilatation for stricturing Crohn’s disease—review of the literature. Int J Colorectal Dis 25, 1149–1157 (2010). https://doi.org/10.1007/s00384-010-1010-x

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00384-010-1010-x

Keywords

Search

Navigation