4.5 Article

Guidelines for endoscopic balloon dilation in treating Crohn's disease-associated small intestinal strictures (supplement to the Clinical Practice Guidelines for Enteroscopy)

Journal

DIGESTIVE ENDOSCOPY
Volume 34, Issue 7, Pages 1278-1296

Publisher

WILEY
DOI: 10.1111/den.14429

Keywords

balloon-assisted endoscopy; Crohn's disease; endoscopic balloon dilation; small intestinal stricture

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This guideline provides a summary of new scientific techniques and evidence regarding endoscopic balloon dilation for the treatment of Crohn's disease-associated small intestinal strictures.
Balloon-assisted enteroscopy allows endoscopic treatments in the deeper segments of the small bowel. Endoscopic balloon dilation has become a popular minimally invasive alternative for the treatment of Crohn's disease-associated small intestinal strictures. As a supplement to the Clinical Practice Guidelines for Enteroscopy, the Japan Gastroenterological Endoscopy Society's Working Committee has developed the present Guidelines for endoscopic balloon dilation in treating Crohn's disease-associated small intestinal strictures, based on new scientific techniques and evidence. The guidelines cover standard procedures for the insertion route of the balloon endoscope, bowel preparation, indications, procedure-related complications, efficacy, target diameter and duration, management of multiple strictures, and the current state of combined and alternative treatments. Unresolved future research questions are also listed in this guideline.

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