Coelho-Prabhu Nayantara, Martin John A
Division of Gastroenterology and Hepatology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
Division of Gastroenterology and Hepatology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
Gastrointest Endosc Clin N Am. 2016 Oct;26(4):739-59. doi: 10.1016/j.giec.2016.06.011.
Stricture formation occurs in up to 40% of patients with inflammatory bowel disease (IBD). Patients are often symptomatic, resulting in significant morbidity, hospitalizations, and loss of productivity. Strictures can be managed endoscopically in addition to traditional surgical management (sphincteroplasty or resection of the affected bowel segments). About 3% to 5% patients with IBD develop primary sclerosing cholangitis (PSC), which results in stricture formation in the biliary tree, managed for the most part by endoscopic therapies. In this article, we discuss endoscopic management of strictures both in the alimentary tract and biliary tree in patients with IBD and/or PSC.
高达40%的炎症性肠病（IBD）患者会出现狭窄形成。患者通常会出现症状，导致严重的发病率、住院率和生产力丧失。除了传统的手术治疗（括约肌成形术或切除受影响的肠段）外，狭窄也可以通过内镜进行处理。约3%至5%的IBD患者会发展为原发性硬化性胆管炎（PSC），这会导致胆管树狭窄形成，大部分通过内镜治疗进行处理。在本文中，我们讨论IBD和/或PSC患者消化道和胆管树狭窄的内镜处理。
