Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital

Endoscopic small bowel balloon dilations in patients with Crohn's disease: a Danish nationwide cohort study, 1997-2015

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Impact of high-dose glucocorticoid on endothelial damage after liver resection - a double-blinded randomized substudy

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Assessing aCCess to Investigations in Inflammatory Bowel Disease (ACCID): results from an international survey

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Decreased number of colonic tuft cells in quiescent ulcerative colitis patients

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Bacterial infections in acute pancreatitis

    Publikation: Bidrag til tidsskriftLederForskningpeer review

Vis graf over relationer

OBJECTIVE: Small bowel strictures are a common complication in Crohn's disease. Endoscopic balloon dilation (EBD) is an emerging therapeutic approach that is minimally invasive and helps to preserve the bowel. The aim of this study was to describe the use of EBD in adult Crohn's disease patients with small bowel strictures.

METHODS: This nationwide cohort comprised individuals ≥18 years old, diagnosed with Crohn's disease in Denmark between 1 January 1997 and 31 December 2015, according to the National Patient Registry (NPR).

RESULTS: The cohort consisted of 9737 incident Crohn's disease patients that were followed for a median of 8.2 years [interquartile range (IQR) = 4.1-13.3]. During the observation period, a total of 90 (1%) patients underwent a small bowel-related EBD. After a follow-up period of a median of 3.4 (IQR = 1.8-5.0) years, primary small bowel strictures treated only with one dilation and no subsequent small bowel surgery accounted for 29 (59%) of 49 cases. A median of 7.2 (IQR = 2.4-13.2) months after their first dilation, 13 (27%) of those 49 patients underwent small bowel surgery. Forty-one patients with postsurgical strictures were dilated after a median of 6.5 (IQR = 2.5-10.2) years following small bowel surgery. Postsurgical strictures treated with only one dilation and no further small bowel surgery accounted for 20 (49%) of the 41 cases.

CONCLUSION: The frequency of EBD in this Danish nationwide cohort was low. During a median follow-up of 5 years after EBD, most patients did not require further surgery. This suggests that EBD is an effective treatment and could be offered to more patients with Crohn's disease.

TidsskriftEuropean journal of gastroenterology & hepatology
Udgave nummer8
Sider (fra-til)831-837
Antal sider7
StatusUdgivet - aug. 2022

Bibliografisk note

Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

ID: 78740502