P580 Prognostic factors, effectiveness and safety of endoscopic balloon dilatation for
de novo and anastomotic strictures in Crohn's disease – a multicenter “real life” study
Balint A.*1, Torocsik D.1, Palatka K.2, Szepes Z.1, Szucs M.3, Ferenci T.4, Nagy F.1, Farkas K.1, Fábián A.1, Bor R.1, Milassin A.1, Rutka M.1, Molnar T.1
1University of Szeged, First Department of Medicine, Szeged, Hungary 2University of Debrecen, Department of Internal Medicine II, Debrecen, Hungary 3University of Szeged, Department of Medical Physics and Informatics, Szeged, Hungary 4Óbuda University, John von Neumann Faculty of Informatics, Budapest, Hungary
Crohn's disease (CD) is a chronic inflammatory disease which is frequently complicated by obstructive symptoms secondary to development of intestinal strictures. The aim of this “real life” study was to assess the effectiveness, safety and outcome of endoscopic balloon dilatation (EBD) in
Data of 144 endoscopic balloon dilatations in 63 CD patients were retrospectively analyzed. Technical success rate was defined as the ability of endoscope to traverse the stenosis after dilatation. Long-term clinical success rate was claimed if a patient remained asymptomatic and did not require surgery or further endoscopic dilatation following the technical success.
63.2% of strictures were
The results of this study highlight that endoscopic balloon dilatation is an effective therapy of short strictures in CD with low complication rate. Using this endoscopic method we can avoid surgical interventions in most of the cases. EBD of anastomotic strictures showed better outcome than that of