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首页> 美国卫生研究院文献>Endoscopy International Open >Endoscopic radial incision and cutting for Crohn’s Disease-associated intestinal stricture: a pilot study
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Endoscopic radial incision and cutting for Crohn’s Disease-associated intestinal stricture: a pilot study

机译：内镜下radial骨切口与克罗恩病相关肠狭窄的初步研究

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摘要

Intestinal stricture associated with Crohn’s disease (CD) is usually treated by endoscopic balloon dilation (EBD) or stricture plasty. Although EBD is effective and safe for such strictures, refractory stricture after EBD poses a problem. Hence, other novel approaches for these refractory strictures are required. On the other hand, the efficacy of radial incision and cutting (RIC) method for esophageal stricture after esophagogastric surgery is reported. In this pilot study, we adopted the RIC technique for five CD patients with refractory intestinal stricture to dilate their strictures. We conducted the RIC procedure using an electric needle knife with a ceramic tip on the top of the needle. Four cases were of anastomotic stricture after ileocecal resection and the remaining one case was of stricture due to mucosal healing. The RIC procedure was successful for all five patients. Average procedure time was 18.6 minutes. One patient developed delayed bleeding after RIC. There were no cases of perforation. RIC could be an alternative therapy for intestinal stricture associated with CD. Further studies should be conducted to clarify its efficacy and safety.
机译：与克罗恩病（CD）相关的肠狭窄通常通过内窥镜球囊扩张（EBD）或狭窄成形术治疗。尽管EBD对于这种狭窄是有效和安全的，但是EBD后的难治性狭窄是一个问题。因此，需要用于这些难治性狭窄的其他新颖方法。另一方面，报道了在食管胃手术后采用放射状切割和切割（RIC）方法治疗食管狭窄的疗效。在这项先导研究中，我们对5例难治性肠狭窄的CD患者采用了RIC技术，以扩大其狭窄程度。我们使用带针尖的陶瓷尖端的电动针刀进行RIC程序。回盲肠切除术后有4例吻合口狭窄，其余1例由于粘膜愈合而狭窄。 RIC程序对所有五名患者均成功。平均手术时间为18.6分钟。一名患者在RIC后出现了延迟出血。没有穿孔的情况。 RIC可能是与CD相关的肠道狭窄的替代疗法。应该进行进一步的研究以阐明其功效和安全性。

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