联合内镜下狭窄切开术及对空肠克罗恩病狭窄成形部位狭窄进行球囊扩张术
Combined Endoscopic Stricturotomy and Balloon Dilation of Strictureplasty Site Stricture in Jejunal Crohn's Disease.
作者信息
Nobel Yael R, Shen Bo
机构信息
Division of Digestive and Liver Diseases, Columbia University, New York, NY.
Center for Interventional Inflammatory Bowel Disease, Columbia University, New York, NY.
出版信息
ACG Case Rep J. 2020 Jun 15;7(6):e00401. doi: 10.14309/crj.0000000000000401. eCollection 2020 Jun.
Patients who undergo surgical strictureplasty for jejunal Crohn's disease-associated strictures may develop severe stenosis at the inlet and outlet sites of the strictureplasty. There is currently no consensus on the optimal management of these strictureplasty-associated strictures because immunosuppressive medications will be ineffective and surgical reintervention, most commonly with bowel resection, is invasive and may introduce new complications. Endoscopic therapy may sometimes be the only valid option. We present a case of severe strictureplasty inlet and outlet strictures that were successfully treated with combined endoscopic stricturotomy and balloon dilation.
接受空肠克罗恩病相关狭窄手术性狭窄成形术的患者，可能会在狭窄成形术的入口和出口部位出现严重狭窄。目前对于这些与狭窄成形术相关的狭窄的最佳处理方法尚无共识，因为免疫抑制药物无效，而手术再次干预（最常见的是肠切除术）具有侵入性，且可能引发新的并发症。内镜治疗有时可能是唯一有效的选择。我们报告一例严重的狭窄成形术入口和出口狭窄病例，通过内镜下狭窄切开术和球囊扩张联合治疗成功治愈。
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