[Efficacy of hydrostatic balloon dilatation of anastomotic Crohn's disease strictures]. / Efficacité de la dilatation hydrostatique des sténoses anatomiques de la maladie de Crohn.
Gastroenterol Clin Biol
; 27(12): 1105-9, 2003 Dec.
Article
en Fr
| MEDLINE
| ID: mdl-14770112
ABSTRACT
OBJECTIVES:
To estimate the efficacy of hydrostatic balloon dilatation (HD) of anastomotic strictures of Crohn's disease and the impact of medical treatment on the duration of HD effects.METHODS:
Sixteen patients with anastomotic stricture (average length 4.7 cm) were treated by HD and followed-up for a median duration of 24 months. Immunosuppressive treatment was given when a second HD was necessary.RESULTS:
HD failed in 3 patients (19%). Thirty-two HD are performed in the other 13 (1 HD 6; 2 HD 2; > 2 HD 5). No severe complication was observed. Eight patients received immunosuppressive treatment started before the first HD in 4 cases or following the second HD in 4 cases. Based on actuarial analysis, clinical and surgical recurrence rates were 39% and 0% at 1 year and 73% and 12% at 2 years, respectively. Time between the first and the second HD were not statistically different (P=0.24) for HD performed with (11.5 +/- 8.8 months; range 5-30) or without (8.0 +/- 6.9 months; range 2-17) immunosuppressive treatment.CONCLUSION:
HD delays the surgical timing for anastomotic Crohn's disease strictures. Medical treatment associated with HD does not seem to modify the duration of the clinical remission.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Cateterismo
/
Enfermedad de Crohn
/
Enfermedades del Colon
Tipo de estudio:
Etiology_studies
Límite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Fr
Revista:
Gastroenterol Clin Biol
Año:
2003
Tipo del documento:
Article