Approach to Endoscopic Balloon Dilatation in Pediatric Stricturing Crohn Disease: A Position Paper of the Endoscopy Special Interest Group of ESPGHAN

Crohn disease (CD) is often complicated by bowel strictures that can lead to obstructive symptoms, resistant inflammation, and penetrating complications. Endoscopic balloon dilatation of CD strictures has emerged as a safe and effective technique for relieving these strictures, which may obviate the need for surgical intervention in the short and medium term. This technique appears to be underutilized in pediatric CD. This position paper of the Endoscopy Special Interest Group of European Society for Pediatric Gastroenterology, Hepatology and Nutrition describes the potential applications, appropriate evaluation, practical technique, and management of complications of this important procedure. The aim being to better integrate this therapeutic strategy in pediatric CD management.

Automated summary

Crohn's disease often leads to bowel strictures, causing obstructive symptoms and complications. Endoscopic balloon dilatation has emerged as a safe and effective technique for relieving these strictures, but it is underutilized in pediatric cases. This position paper aims to promote the integration of this therapeutic strategy in pediatric Crohn's disease management by discussing its potential applications, evaluation, technique, and complications.