Endoscopic Treatment of Complications of Inflammatory Bowel Diseases

摘要: Inflammatory bowel diseases affect about 1 in 200 persons Western countries. Patients with Crohn’s disease (CD) particular often require surgery as evolves from a primarily luminal inflammatory process to stricturing and/or penetrating disease. Endoscopic modalities are emerging viable and exciting alternative subset of patients IBD. balloon dilation, or without topical corticosteroid injection, for IBD-related strictures is safe effective intervention short, bland, symptomatic strictures, may avoid the need surgery. Novel strategies such endoscopic needle-knife stricturotomy stent placement improve durability dilation. intrafistular injection fibrin glue, conjunction medical management, be therapeutic CD-related fistulae; addition adipose-derived mesenchymal stem cells glue significantly fistula healing, but awaiting further study. Endotherapy an acutely bleeding ulcer colonoscopic polypectomy mucosal resection treatments adenoma flat raised colitis-associated colorectal neoplasia, obviate colectomy Endoscopy fast purely diagnostic modality, potentially armamentarium gastroenterologists involved care