ArticleMedicine2019
Clinical outcomes of endoscopic balloon dilatation of intestinal strictures in patients with Crohn's disease.
Article in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Impact of sex and socioeconomic status on the likelihood of surgery, hospitalization, and use of medications in inflammatory bowel disease: a systematic review and meta-analysis.Systematic reviews · 2024Pooled it
- Therapeutic strategies for stricturing Crohn's disease in childhood: a systematic review.Pediatric surgery international · 2021Pooled it
- Recent Endoscopic Technological Advancements in Crohn's Stricture Dilation.Current gastroenterology reports · 2026Review
- Complete mucosal healing prevents stricture progression after endoscopic balloon dilation in Crohn's disease.DEN open · 2025Article
- Risk factors of incomplete balloon-assisted enteroscopy with an analysis of 943 patients: a retrospective study.Frontiers in medicine · 2025Article
- Patient-Related Factors Associated With Long-Term Outcomes After Successful Endoscopic Balloon Dilation For Crohn's Disease-Associated Ileo-Colic Strictures: A Systematic Review and Meta-analysis.Crohn's & colitis 360 · 2024Article
- Interventional endoscopy in inflammatory bowel disease: a comprehensive review.Gastroenterology report · 2024Review
- Fibro-Stenosing Crohn's Disease: What Is New and What Is Next?Journal of clinical medicine · 2023Review
- Article
- Mucosal healing of small intestinal stricture is associated with improved prognosis post-dilation in Crohn's disease.BMC gastroenterology · 2022Article
- Medical, Endoscopic and Surgical Management of Stricturing Crohn's Disease: Current Clinical Practice.Journal of clinical medicine · 2022Review
- Complete Colonic Diaphragm-Like Stricture After Ileostomy and Sigmoidectomy for Sigmoid Colon Perforation With Diverticulitis.ACG case reports journal · 2021Article
- Endoscopic balloon dilation for management of stricturing Crohn's disease in children.World journal of gastrointestinal endoscopy · 2021Article
- Endoscopic ultrasound-guided colo-colostomy in a case of acute large bowel obstruction.Endoscopy international open · 2021Article
- Correlation between age of onset and gastrointestinal stenosis in hospitalized patients with Crohn's disease.World journal of clinical cases · 2020Article
- Endoscopic management of ileal pouch-anal anastomosis strictures: meta-analysis and systematic literature review.Annals of gastroenterologyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Intestinal strictures are common complications of Crohn's disease (CD). Endoscopic balloon dilatation (EBD) constitutes an alternative therapy to surgery, but associated factors of procedure success are inconclusive. Therefore, we aimed to evaluate the EBD success rate and its associated factors in CD patients.This is a retrospective cohort study of consecutive EBDs that were conducted between 2006 and 2014 among patients with CD with lower gastrointestinal tract strictures. Patients' and stricture characteristics, short term procedure success and related complications at 1 week follow-up, and long-term clinical endpoints were documented.A total of 138 dilatations were performed on 64 CD patients. The overall dilatation success rate was 84.8%, with no difference between primary or anastomotic strictures, or between first or recurrent dilatation procedures. Long strictures (≥4 cm) were negatively associated with successful EBDs, but not with perforations. A multivariate analysis adjusting for age, sex, smoking, and disease duration revealed that a maximal dilatation diameter of ≥15 mm was positively associated with a successful EBD, while an inflamed stricture was negatively associated with procedure success. Strictures which were both long and inflamed were associated with the lowest EBD success rates compared with other strictures. Only 32.8% of patients required surgery during the follow-up period. Long-term prevention of surgery was negatively associated with stricture length and with a successful EBD.EBD is highly successful in treating intestinal strictures and in prevention of surgery in CD patients. Although EBD of long strictures is safe, it will not prevent surgery in the majority of cases.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.