Terminal real stricture in Crohn's disease: Treatment using a metallic enteral endoprosthesis

Enteral strictures,ire a frequent indication for surgery, in Crohn's disease. postoperative complications are increased in patients with poor preoperative nutritional status, which is common in this patient population. We present a 49-year-old female with longstanding Crohn's disease admitted to our Digestive Health Center with four weeks of increasing abdominal symptoms and radiographic evidence of smallbowel obstruction caused by ileal stricture. Given her poor nutritional status, our team elected to pursue metallic enteral stenting as a bridge to surgical resection. Two Wall-stents (TM) were placed; luminal patency was subsequently confirmed by a fluoroscopic Study. The patient tolerated regular diet and was discharged. When seen in follow-up, she remained asymptomatic and wished to defer Surgical intervention indefinitely.