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克罗恩病狭窄的内镜治疗进展

Update of endoscopic management of Crohn's disease strictures.

作者信息

Pokala Akshay, Shen Bo

机构信息

Interventional IBD Center, Columbia University Irving Medical Center-New York Presbyterian Hospital, New York, NY, USA.

出版信息

Intest Res. 2020 Jan;18(1):1-10. doi: 10.5217/ir.2019.09158. Epub 2020 Jan 30.

Abstract

One of the most common complications of Crohn's disease (CD) is the formation of strictures. Endoscopy plays a vital role not only in the diagnosis, differential diagnosis, and disease monitoring of CD, but also the delivery of effective treatment. The purpose of this review is to update the endoscopic management of strictures in CD. Endoscopic therapy has provided minimally invasive treatment for CD. Commonly used endoscopic treatment modalities include balloon dilation, endoscopic stricturotomy, endoscopic strictureplasty, and endoscopic stenting. The pros and cons of these endoscopic treatment modalities are discussed.

摘要

克罗恩病(CD)最常见的并发症之一是狭窄的形成。内镜检查不仅在CD的诊断、鉴别诊断和疾病监测中起着至关重要的作用,而且在提供有效治疗方面也发挥着重要作用。本综述的目的是更新CD狭窄的内镜治疗方法。内镜治疗为CD提供了微创治疗。常用的内镜治疗方式包括球囊扩张、内镜下狭窄切开术、内镜下狭窄成形术和内镜支架置入术。本文讨论了这些内镜治疗方式的优缺点。

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