Evidence map›Paper›PMID 23674873›Full record

ArticleWorld journal of gastroenterology2013

Short- and long-term efficacy of endoscopic balloon dilation in Crohn's disease strictures.

Nicola de'Angelis, Maria Clotilde Carra, Osvaldo Borrelli, Barbara Bizzarri, Francesca Vincenzi, Fabiola Fornaroli, Giuseppina De Caro, Gian Luigi de'Angelis

Open access · hybridAbstract read
In one paragraph

Article in World journal of gastroenterology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Case 21: A 29-Year-Old Man With Bloating and Borborygmus.Journal of Korean medical science · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Endoscopic management of Crohn's strictures.World journal of gastroenterology · 2018
    Review
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Intestinal stricture in Crohn's disease.Intestinal research · 2015
    Review
  18. Article
  19. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Nicola de'AngelisDepartment of Digestive Surgery, Hopital Henri Mondor-Université Paris Est, 94010 Creteil, France. nic.deangelis@yahoo.it
Maria Clotilde Carra
Osvaldo Borrelli
Barbara Bizzarri
Francesca Vincenzi
Fabiola Fornaroli
Giuseppina De Caro
Gian Luigi de'Angelis
Université Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate short- and long-term efficacy of endoscopic balloon dilation in a cohort of consecutive patients with symptomatic Crohn's disease (CD)-related strictures.

methodsTwenty-six CD patients (11 men; median age 36.8 year, range 11-65 years) with 27 symptomatic strictures underwent endoscopic balloon dilation (EBD). Both naive and post-operative strictures, of any length and diameter, with or without associated fistula were included. After a clinical and radiological assessment, EBD was performed with a Microvasive Rigiflex through the scope balloon system. The procedure was considered successful if no symptom reoccurred in the following 6 mo. The long-term clinical outcome was to avoid surgery.

resultsThe mean follow-up time was 40.7 ± 5.7 mo (range 10-94 mo). In this period, forty-six EBD were performed with a technical success of 100%. No procedure-related complication was reported. Surgery was avoided in 92.6% of the patients during the entire follow-up. Two patients, both presenting ileocecal strictures associated with fistula, failed to respond to the treatment and underwent surgical strictures resection. Of the 24 patients who did not undergo surgery, 11 patients received 1 EBD, and 13 required further dilations over time for the treatment of relapsing strictures (7 patients underwent 2 dilations, 5 patients 3 dilations, and 1 patient 4 dilations). Overall, the EBD success rate after the first dilation was 81.5%. No difference was observed between the EBD success rate for naive (n = 12) and post-operative (n = 15) CD related strictures (P > 0.05).

conclusionEBD appears to be a safe and effective procedure in the therapeutic management of CD-related strictures of any origin and dimension in order to prevent surgery.

Indexed as

Endoscopy, GastrointestinalAdolescentAdultAgedChildConstriction, PathologicCrohn DiseaseDilatationFemaleHumansIntestinal FistulaIntestinal ObstructionKaplan-Meier EstimateMaleMiddle AgedProspective StudiesCrohn’s diseaseEndoscopic balloon dilationEndoscopyGastrointestinal surgeryStrictures

Identifiers

PMID23674873
PMCPMC3645384
OpenAlexW1542522583

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.