The Balloon Dilation of Anastomotic Strictures
in Crohn’s Disease
Lukáš, M., Adamec, S., Bortlík, M., Novotný, A., Chalupná, P.
Gastroenterologické centrum, IV. interní klinika UK 1. LF a VFN, Praha, přednosta doc. MUDr. A. Žák, DrSc. |
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Summary:
Balloon dilation of anastomotic strictures in Crohn’s
disease is safe and effective procedure, but the effect of
dilation is usually short with high rates of recurrences.
Twenty six patients,15 female and 11 male,mean age 40.9
resp. 34.5 years with Crohn’s disease and entero-colic
anastomotic strictures were included in this retrospective
study. Since 1998 we performed 63 balloon dilations in
26 patients. Fiberstenotic diseases were seen in 14 pts and
12 pts had perforating type of Crohn’s disease. Topic
steroid took 11 patients, systemic steroid only 2 patients,
azathioprine 8 and masalazine 20 patients. The mean
interval between dilations was 4.9 months in female and
5.1 in male patients. Retrospective analysis has shown,
that concomitant therapy of Crohn’s disease had no influence
on long-termeffect of balloon dilation of anastomotic
strictures.The same relationwe observed between the type
of disease and long-term effect of dilation. Inspite of this,
balloon dilation is very good alternative to surgical management
of strictures in patients with Crohn’s disease.
Key words:
entero-colic anastomotic strictures, topic steroids,
fiberstenotic type of disease, perforating type of
disease
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