Approach to Endoscopic Balloon Dilatation in Pediatric Stricturing Crohn Disease: A Position Paper of the Endoscopy Special Interest Group of ESPGHAN-Reference-Cited by-同舟云学术

Approach to Endoscopic Balloon Dilatation in Pediatric Stricturing Crohn Disease: A Position Paper of the Endoscopy Special Interest Group of ESPGHAN

Published:2023-03-02 Issue:6 Volume:76 Page:799-806
ISSN:0277-2116
Container-title:Journal of Pediatric Gastroenterology & Nutrition
language:en
Short-container-title:

Author:

Ledder Oren¹,Homan Matjaž²,Furlano Raoul³,Papadopoulou Alexandra⁴,Oliva Salvatore⁵,Dias Jorge Amil⁶,Dall’oglio Luigi⁷,Faraci Simona⁸,Narula Priya⁹,Schluckebier Dominique⁹,Hauser Bruno¹⁰,Nita Andreia¹¹,Romano Claudio¹²,Tzivinikos Christos¹³,Bontems Patrick¹⁴,Thomson Mike⁹

Affiliation:

1. Juliet Keidan Institute of Paediatric Gastroenterology, Shaare Zedek Medical Center, Hebrew University of Jerusalem, Jerusalem, Israel

2. Department of Gastroenterology, Hepatology, and Nutrition, Faculty of Medicine, University Children’s Hospital, University of Ljubljana, Ljubljana, Slovenia

3. Department of Pediatric Gastroenterology, University Children’s Hospital Basel, Basel, Switzerland

4. First Department of Pediatrics, Athens Children’s Hospital “Agia Sofia”, University of Athens, Athens, Greece

5. Pediatric Gastroenterology and Liver Unit, Maternal and Child Health Department, Sapienza - University of Rome, Rome, Italy

6. Department of Paediatric Gastroenterology, Hospital Lusíadas, Porto, Portugal

7. Digestive Endoscopy Surgery Unit, Bambino Gesù Children’s Hospital IRCCS, Rome, Italy

8. Digestive Endoscopy, Gastroenterology, Hepatology, and Nutrition Unit, Bambino Gesù Children’s Hospital IRCCS, Rome, Italy

9. Department of Paediatric Gastroenterology, Sheffield Children’s Hospital, Sheffield, United Kingdom

10. Department of Pediatric Gastroenterology, Hepatology and Nutrition, KidZ Health Castle, Vrije Universiteit Brussel (VUB), UZ Brussel, Brussels, Belgium

11. Paediatric Gastroenterology Department, Great Ormond Street Hospital, London, United Kingdom

12. Department of Pediatric Gastroenterology, University of Messina, Sicily, Italy

13. Department of Pediatric Gastroenterology, Al Jalila Children’s Hospital, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates

14. Department of Pediatric Gastroenterology, Queen Fabiola Children’s University Hospital, Bruxelles, Belgium.

Abstract

Crohn disease (CD) is often complicated by bowel strictures that can lead to obstructive symptoms, resistant inflammation, and penetrating complications. Endoscopic balloon dilatation of CD strictures has emerged as a safe and effective technique for relieving these strictures, which may obviate the need for surgical intervention in the short and medium term. This technique appears to be underutilized in pediatric CD. This position paper of the Endoscopy Special Interest Group of European Society for Pediatric Gastroenterology, Hepatology and Nutrition describes the potential applications, appropriate evaluation, practical technique, and management of complications of this important procedure. The aim being to better integrate this therapeutic strategy in pediatric CD management.

Publisher

Wiley

Subject

Gastroenterology,Pediatrics, Perinatology and Child Health

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