Intestinal strictures in Crohn's disease: An update from 2023

Author:

Liu Zishan1ORCID,Huang Zhuoyan1,Wang Yu1,Xiong Shanshan1,Lin Sinan1,He Jinshen1ORCID,Tan Jinyu1,Liu Caiguang1,Wu Xiaomin1,Nie Jing1,Huang Weidong1ORCID,Zhang Yao2,Zhou Longyuan1,Mao Ren1

Affiliation:

1. Department of Gastroenterology The First Affiliated Hospital Sun Yat‐Sen University Guangzhou China

2. Department of Gastroenterology Ruijin Hospital Shanghai Jiao Tong University School of Medicine Shanghai China

Abstract

AbstractCrohn's disease (CD) is a chronic inflammatory disease that leads to intestinal stricture in nearly 35% of cases within 10 years of initial diagnosis. The unknown pathogenesis, lack of universally accepted criteria, and absence of an effective management approach remain unconquered challenges in structuring CD. The pathogenesis of stricturing CD involves intricate interactions between factors such as immune cell dysbiosis, fibroblast activation, and microecology imbalance. New techniques such as single‐cell sequencing provide a fresh perspective. Non‐invasive diagnostic tools such as serum biomarkers and novel cross‐sectional imaging techniques offer a precise understanding of intestinal fibrostenosis. Here, we provide a timely and comprehensive review of the worthy advancements in intestinal strictures in 2023, aiming to dispense cutting‐edge information regarding fibrosis and to build a cornerstone for researchers and clinicians to make greater progress in the field of intestinal strictures.

Publisher

Wiley

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