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Long-Term Outcomes of Endoscopic Balloon Dilation for Benign Strictures in Patients with Inflammatory Bowel Disease

Authors
 Hye Won Lee  ;  Soo Jung Park  ;  Seong Ran Jeon  ;  Byong Duk Ye  ;  Jae Jun Park  ;  Jae Hee Cheon  ;  Tae Il Kim  ;  Won Ho Kim  ;  KASID 
Citation
 GUT AND LIVER, Vol.12(5) : 530-536, 2018 
Journal Title
 GUT AND LIVER 
ISSN
 1976-2283 
Issue Date
2018
MeSH
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Colitis, Ulcerative/complications ; Colitis, Ulcerative/pathology ; Colitis, Ulcerative/surgery* ; Constriction, Pathologic ; Crohn Disease/complications ; Crohn Disease/pathology ; Crohn Disease/surgery* ; Dilatation/instrumentation ; Dilatation/methods* ; Endoscopy, Gastrointestinal/instrumentation ; Endoscopy, Gastrointestinal/methods* ; Female ; Humans ; Intestinal Obstruction/etiology ; Intestinal Obstruction/pathology ; Intestinal Obstruction/surgery* ; Male ; Middle Aged ; Retrospective Studies ; Treatment Outcome ; Young Adult
Keywords
Balloon dilation ; Benign stricture ; Colitis, ulcerative ; Crohn disease ; Inflammatory bowel diseases
Abstract
Background/Aims: Benign intestinal strictures are common complications in patients with inflammatory bowel disease (IBD). This study aimed to assess the long-term prognosis of endoscopic balloon dilation (EBD) to treat benign strictures in IBD patients. Methods: Patients with IBD who had benign strictures and who underwent EBD in four tertiary referral university hospitals between January 2004 and February 2014 were retrospectively reviewed. Technical success was defined as the ability to pass the scope through the stricture after balloon dilation, and clinical success was defined as improved obstructive symptoms. Results: Forty-two benign strictures were identified in 30 patients (15 males and 15 females). Technical success was achieved in 26 patients (86.7%) at the first EBD attempt and in all 30 patients (100%) at the second EBD attempt. Clinical success was seen in 28 patients (93.3%). The median follow-up duration was 134.8 months (range, 10.2 to 252.0 months), and recurrence occurred in eight patients (26.7%), who required repeat EBD. The median duration to relapse was 1.7 months (range, 0.2 to 6.3 months). During repeat EBD, perforation occurred in two cases (6.7%), which were both clipped successfully. Finally, only one patient (3.3%) underwent surgery for the relief of recurrent obstructive symptoms during the follow-up period. Conclusions: The experience of 10 years shows that EBD is safe and effective for the treatment of benign strictures in IBD patients. Importantly, EBD may allow long-term effective palliation of the symptoms associated with benign intestinal strictures in IBD patients.
DOI
10.5009/gnl17396
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Won Ho(김원호) ORCID logo https://orcid.org/0000-0002-5682-9972
Kim, Tae Il(김태일) ORCID logo https://orcid.org/0000-0003-4807-890X
Park, Soo Jung(박수정)
Park, Jae Jun(박재준)
Lee, Hye Won(이혜원) ORCID logo https://orcid.org/0000-0002-3552-3560
Cheon, Jae Hee(천재희) ORCID logo https://orcid.org/0000-0002-2282-8904
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/167502
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