Kelly S M, Hunter J O
Department of Gastroenterology, Addenbrooke's Hospital, Cambridge, UK.
Postgrad Med J. 1995 Oct;71(840):623-4. doi: 10.1136/pgmj.71.840.623.
Endoscopic balloon dilatation of oesophageal and colonic strictures is now widely performed. Duodenal strictures due to Crohn's disease represent a difficult clinical problem as surgical intervention is a major undertaking and recurrences are common. We describe endoscopic balloon dilatation in three patients with obstructive symptoms from duodenal strictures due to Crohn's disease. The procedure appeared safe, was well tolerated and resulted in an excellent symptomatic response. This method is particularly suitable for short duodenal strictures and avoids the need for surgical intervention in this difficult group of patients.
目前，食管和结肠狭窄的内镜球囊扩张术已被广泛应用。克罗恩病所致十二指肠狭窄是一个棘手的临床问题，因为手术干预是一项重大举措且复发很常见。我们描述了对3例因克罗恩病导致十二指肠狭窄出现梗阻症状患者进行的内镜球囊扩张术。该操作似乎安全，耐受性良好，且症状缓解效果极佳。这种方法特别适用于短段十二指肠狭窄，避免了对这类棘手患者群体进行手术干预的必要性。
