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- Title
Endoscopy for Crohn's disease‐related strictures: Can we finally replace the surgeons?
- Authors
Nik Affendi, Nik Arsyad; Hilmi, Ida
- Abstract
This article discusses the use of endoscopy as a potential alternative to surgery for patients with Crohn's disease-related strictures. Crohn's disease is a chronic condition that can lead to complications such as strictures, fistulas, and perforations, which often require surgical intervention. However, studies have shown that biologic therapy can be effective in preventing or delaying the development of strictures, particularly those that are inflammatory dominant. For fibrostenotic strictures, endoscopic therapy, including balloon dilation, stricturotomy, and the placement of self-expanding metallic stents, has shown promising results. A recent study found that endoscopic therapy prevented the need for surgery in the majority of patients, although re-interventions were more common. Further research is needed to determine if newer therapies combined with advanced inflammation control can eliminate the need for surgery altogether. Overall, the management of Crohn's disease-related strictures is complex and requires a personalized, multidisciplinary approach.
- Subjects
CROHN'S disease; INFLAMMATORY bowel diseases; ENDOSCOPY; URETHROPLASTY; INTESTINAL perforation
- Publication
Journal of Gastroenterology & Hepatology, 2024, Vol 39, Issue 5, p779
- ISSN
0815-9319
- Publication type
Article
- DOI
10.1111/jgh.16522