Stricture dilation

Crohn’s disease balloon-assisted endoscopy small bowel stricture dilation

Journal

Therapeutic advances in gastroenterology
ISSN: 1756-283X
Titre abrégé: Therap Adv Gastroenterol
Pays: England
ID NLM: 101478893

Informations de publication

Date de publication:
2024
Historique:
received: 06 06 2023
accepted: 17 01 2024
medline: 1 3 2024
pubmed: 1 3 2024
entrez: 1 3 2024
Statut: epublish

Résumé

Despite recent emerging literature involving the utility of endoscopic balloon dilation (EBD) of strictures This study assesses the intra-procedural success and safety of EBD Retrospective consecutive patient cohort analysis. We retrospectively assessed a consecutive small bowel CD patient cohort undergoing BAE at the University of Alberta Hospital endoscopy unit from 2013 to 2020. The primary endpoint discerned the safety and immediate success rate of EBD during endoscopy, and comparisons of the dilation parameters and efficacy of SBE During the study period, 87 patients (44 male) with a mean age of 56 ± 14.7 years underwent 179 endoscopic procedures (92 DBE and 87 SBE). Of 358 strictures encountered, 320 (89.4%) were successfully dilated and traversed. The mean maximum dilation diameter was 15.76 ± 2.10 mm. There were no perforations or major adverse events. EBD Outcome and approach of small-bowel stricture dilation using balloon-assisted endoscopy in patients with Crohn’s disease This study investigated the safety and success of using balloon-assisted endoscopy as a method to dilate small bowel strictures in patients with Crohn’s disease. As a secondary outcome, we compared the overall safety and success between two different types of endoscopic systems: the single- and double-balloon systems.

Sections du résumé

Background UNASSIGNED
Despite recent emerging literature involving the utility of endoscopic balloon dilation (EBD) of strictures
Objectives UNASSIGNED
This study assesses the intra-procedural success and safety of EBD
Design UNASSIGNED
Retrospective consecutive patient cohort analysis.
Methods UNASSIGNED
We retrospectively assessed a consecutive small bowel CD patient cohort undergoing BAE at the University of Alberta Hospital endoscopy unit from 2013 to 2020. The primary endpoint discerned the safety and immediate success rate of EBD during endoscopy, and comparisons of the dilation parameters and efficacy of SBE
Results UNASSIGNED
During the study period, 87 patients (44 male) with a mean age of 56 ± 14.7 years underwent 179 endoscopic procedures (92 DBE and 87 SBE). Of 358 strictures encountered, 320 (89.4%) were successfully dilated and traversed. The mean maximum dilation diameter was 15.76 ± 2.10 mm. There were no perforations or major adverse events.
Conclusion UNASSIGNED
EBD
Outcome and approach of small-bowel stricture dilation using balloon-assisted endoscopy in patients with Crohn’s disease This study investigated the safety and success of using balloon-assisted endoscopy as a method to dilate small bowel strictures in patients with Crohn’s disease. As a secondary outcome, we compared the overall safety and success between two different types of endoscopic systems: the single- and double-balloon systems.

Autres résumés

Type: plain-language-summary (eng)
Outcome and approach of small-bowel stricture dilation using balloon-assisted endoscopy in patients with Crohn’s disease This study investigated the safety and success of using balloon-assisted endoscopy as a method to dilate small bowel strictures in patients with Crohn’s disease. As a secondary outcome, we compared the overall safety and success between two different types of endoscopic systems: the single- and double-balloon systems.

Identifiants

pubmed: 38425369
doi: 10.1177/17562848241230904
pii: 10.1177_17562848241230904
pmc: PMC10903206
doi:

Types de publication

Journal Article

Langues

eng

Pagination

17562848241230904

Informations de copyright

© The Author(s), 2024.

Déclaration de conflit d'intérêts

The authors declare that there is no conflict of interest.

Auteurs

Brendan P Halloran (BP)

Director of the Small Endoscopy Bowel Program, Division of Gastroenterology, Department of Medicine, University of Alberta, 130 University Campus NW, Edmonton, AB, Canada T6G2X8.
Division of Gastroenterology, University of Alberta, Edmonton, AB, Canada.

Matthew Reeson (M)

Division of Gastroenterology, University of Alberta, Edmonton, AB, Canada.

Christopher Teshima (C)

Division of Gastroenterology, St. Michael's Hospital, Toronto, ON, Canada.

Karen Kroeker (K)

Division of Gastroenterology, University of Alberta, Edmonton, AB, Canada.

Vivian Huang (V)

Division of Gastroenterology, Mount Sinai Hospital, Toronto, ON, Canada.

Levinus Dieleman (L)

Division of Gastroenterology, University of Alberta, Edmonton, AB, Canada.

Peter Holmes (P)

Division of Gastroenterology, University of Alberta, Edmonton, AB, Canada.

Daniel C Baumgart (DC)

Division of Gastroenterology.
Charité Medical Center - Virchow Hospital Berlin, Berlin, Germany.

Karen Wong (K)

Division of Gastroenterology, University of Alberta, Edmonton, AB, Canada.

Frank Hoentjen (F)

Division of Gastroenterology, University of Alberta, Edmonton, AB, Canada.

Farhad Peerani (F)

Division of Gastroenterology, University of Alberta, Edmonton, AB, Canada.

Sergio Zepeda-Gomez (S)

Division of Gastroenterology, University of Alberta, Edmonton, AB, Canada.

Classifications MeSH