Endoscopic Balloon Dilation of Ileal Stricture Due to Crohn's Disease: Report of a Case

Accession number;03A0290518
Title;Endoscopic Balloon Dilation of Ileal Stricture Due to Crohn's Disease: Report of a Case
Author; INOUE TAKUYA (Aomori Prefectural Central Hospital, JPN) HATADA YASUMASA (Aomori Prefectural Central Hospital, JPN) KANAZAWA KOSUKE (Aomori Prefectural Central Hospital, JPN) SAITO MASATO (Aomori Prefectural Central Hospital, JPN)
Journal Title;Gastroenterol Endosc
Journal Code:G0608B
ISSN:0387-1207
VOL.45;NO.4;PAGE.856-861(2003)
Figure&Table&Reference;FIG.6, TBL.1, REF.20
Pub. Country;Japan
Language;Japanese
Abstract;A 26-year-old man had acute abdomen and underwent emergency operation in May 1997. The small intestine was perforated about 30cm proximal to the end of ileum. Partial resection of the small intestine with end-to-end anastomosis was performed. The diagnosis of Crohn's disease was made. In December 1999 when he was admitted to the hospital for the treatment of perianal abscess, the patient developed nausea. Barium study showed an ileal stricture, 1cm in length. Endoscopic balloon dilation using Microvasive Regiflex TTS balloon catheter for the large intestine (outer diameter 12mm and 15mm) was performed 4 times in 3 months. Since then, there have been no signs to suggest the digestive tract passage disorder. There is no definite view on the long-term effect of endoscopic balloon dilation. However, we think that endoscopic dilation seems to be a valuable therapeutic approach for small intestinal stenosis associated with Crohn's disease, which should be attempted to prevent repeated surgical operation. (author abst.)