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首页> 外文期刊>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：内镜径向切口和切割克罗恩病相关肠狭窄：试点研究

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Background and study aims?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：背景和研究旨在？与克罗恩疾病（CD）相关的肠狭窄通常通过内窥镜球囊扩张（EBD）或狭窄塑料。虽然EBD对这种狭窄是有效和安全的，但EBD后的难治性狭窄构成问题。因此，需要对这些难治性狭窄的其他新颖方法。另一方面，据报道，报道了食管胃科手术后食管狭窄的径向切口和切割（RIC）方法的疗效。在这项试点研究中，我们采用了耐火性肠狭窄的五个CD患者的RIC技术，以扩张其狭窄。我们使用针顶部的电针刀进行了RIC程序。对海西切除后四种病例有吻合狭窄，剩余的一种案例因粘膜治疗而狭窄。所有五名患者都成功了RIC程序。平均程序时间为18.6分钟。一名患者在RIC后出现延迟出血。没有穿孔的情况。 ric可以是与CD相关的肠狭窄的替代治疗。应进行进一步的研究以澄清其功效和安全性。

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