Endoscopic balloon dilation of colorectal strictures complicating Crohn’s disease: a multicenter study - Université de Rennes Accéder directement au contenu
Article Dans Une Revue Clinics and Research in Hepatology and Gastroenterology Année : 2021

Endoscopic balloon dilation of colorectal strictures complicating Crohn’s disease: a multicenter study

Anthony Buisson

Résumé

INTRODUCTION: While endoscopic balloon dilation (EBD) is widely used to manage ileal strictures, EBD of colorectal strictures remains poorly investigated in Crohn’s disease (CD). METHODS: We performed a retrospective study that included all consecutive CD patients who underwent EBD for native or anastomotic colorectal strictures in 9 tertiary centers between 1999 and 2018. Factors associated with EBD failure were also investigated by logistic regression. RESULTS: Fifty-seven patients (25 women, median age: 36 years (InterQuartile Range, 31-48) were included. Among the 60 strictures, 52 (87%) were native, 39 (65%) measured < 5 cm and the most frequent location was the left colon (27%). Fifty-seven (95%) were non-passable by the scope and 35 (58%) were ulcerated. Among the 161 EBDs performed (median number of dilations per stricture: 2, IQR 1-3), technical and clinical success were achieved for 79% (n = 116/147) and 77% (n = 88/115), respectively. One perforation occurred (0.6% per EDB and 2% per patient). After a median follow-up of 4.3 years (IQR 2.0-8.4), 24 patients (42%) underwent colonic resection and 24 (42%) were asymptomatic without surgery. One colon lymphoma and one colorectal cancer were diagnosed (3.5% of patients) from endoscopic biopsies and at the time of surgery, respectively. No factor was associated with technical or clinical success. CONCLUSION: EDB of CD-associated colorectal strictures is feasible, efficient and safe, with more than 40% becoming asymptomatic without surgery.
Fichier principal
Vignette du fichier
S2210740120303028.pdf (398.51 Ko) Télécharger le fichier
Origine : Fichiers produits par l'(les) auteur(s)

Dates et versions

hal-03038308 , version 1 (05-01-2024)

Licence

Paternité - Pas de modifications

Identifiants

Citer

Marion Tilmant, Mélanie Serrero, Florian Poullenot, Guillaume Bouguen, Benjamin Pariente, et al.. Endoscopic balloon dilation of colorectal strictures complicating Crohn’s disease: a multicenter study. Clinics and Research in Hepatology and Gastroenterology, 2021, 45 (5), pp.1-6. ⟨10.1016/j.clinre.2020.10.006⟩. ⟨hal-03038308⟩
109 Consultations
3 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More