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Therapeutic resolution of focal, predominantly anastomotic Crohn’s disease strictures using removable stents: outcomes from a single-center case series in the United Kingdom by Das, Ronit; Singh, Rajeev; Din, Said; Lund, Jonathan; Krishnamoorthy, Rajesh; Hearing, Stephen; Norton, Bernard; Williams, Jessica; Fraser, Catherine; Goddard, Andrew; Cole, Andrew is a Medicine article available to read on EtoBox.

## Background and aims: Intestinal and anastomotic strictures in crohn's disease (cd) produce considerable morbidity. the development of surgery-sparing, endoscopic modalities for stricture resolution is essential. removable stent therapy is emerging as an efficacious and safe means of stricture resolution. we present outcomes from the largest, single-center series of patients with cd undergoing removable self-expanding metal stent (sems) therapy to resolve focal intestinal strictures. ## Methods: Patients with symptomatic cd were assessed with magnetic resonance enterography. short (≤6 cm), fibrostenotic strictures of the terminal ileum or ileocolonic anastomoses were considered by a multidisciplinary team and put forward for stent therapy. strictures were examined endoscopically and impassable strictures were treated with semss. the hanaro hrc-20-080-230 partially covered sems was used for all patients. endoscopically inaccessible or inflammatory strictures were excluded. stent retrieval was scheduled for 7 days after insertion. therapeutic benefit was assessed with validated inflammatory bowel disease scoring tools. ## Results: Twenty-one patients underwent 23 stent episodes, wi

Author

Das, Ronit; Singh, Rajeev; Din, Said; Lund, Jonathan; Krishnamoorthy, Rajesh; Hearing, Stephen; Norton, Bernard; Williams, Jessica; Fraser, Catherine; Goddard, Andrew; Cole, Andrew

Publisher

Elsevier Science; Elsevier ; Mosby Inc.; Elsevier BV (ISSN 1097-6779)

Published

2020

Language

EN

Field

Medicine (Health Sciences)