• 作者：Vicente Lorenzo-Z¨²?iga ; Esther Garc¨ªa-Planella ; Vicente Moreno De Vega ; Eugeni Dom¨¨nech ; Jaume Boix
• 关键词：Enfermedad inflamatoria intestinal ; Estenosis luminal ; Dilatació ; n endoscó ; pica ; Pró ; tesis biodegradables ; Pró ; tesis metá ; licas autoexpandibles ; Infliximab
• 刊名：Gastroenterolog¨ªa y Hepatolog¨ªa
• 出版年：2012
• 出版时间：June-July, 2012
• 年：2012
• 卷：35
• 期：6
• 页码：404-410
• 全文大小：395 K

Luminal stenosis is frequent in Crohn's disease (CD) due to transmural involvement. Before any endoscopic treatment, the presssence of neoplastic stenosis should always be excluded. Endoscopic balloon dilatation has been used in several series to treat benign stenosis, mainly in CD with involvement of the distal ileon, colon or surgical anastomosis, with success rates of 51 % to 85 % , although recurrence is high. The concomitant use of injected steroids (triamcinolone) after endoscopic dilatation produces longer-lasting results, but there are few published reports. In patients with luminal stenosis refractory to conventional endoscopy, three emerging techniques may be useful: self-expanding metallic stents, biodegradable endoprostheses and intralesional infliximab injection.