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The multidisciplinary health care team in the management of stenosis in Crohn’s disease
BACKGROUND: Stricture formation is a common complication of Crohn’s disease (CD), occurring in approximately one-third of all patients with this condition. Our aim was to summarize the available epidemiology data on strictures in patients with CD, to outline the principal evidence on diagnostic imag...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4388000/ https://www.ncbi.nlm.nih.gov/pubmed/25878504 http://dx.doi.org/10.2147/JMDH.S38729 |
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author | Gasparetto, Marco Angriman, Imerio Guariso, Graziella |
author_facet | Gasparetto, Marco Angriman, Imerio Guariso, Graziella |
author_sort | Gasparetto, Marco |
collection | PubMed |
description | BACKGROUND: Stricture formation is a common complication of Crohn’s disease (CD), occurring in approximately one-third of all patients with this condition. Our aim was to summarize the available epidemiology data on strictures in patients with CD, to outline the principal evidence on diagnostic imaging, and to provide an overview of the current knowledge on treatment strategies, including surgical and endoscopic options. Overall, the unifying theme of this narrative review is the multidisciplinary approach in the clinical management of patients with stricturing CD. METHODS: A Medline search was performed, using “Inflammatory Bowel Disease”, “stricture”, “Crohn’s Disease”, “Ulcerative Colitis”, “endoscopic balloon dilatation” and “strictureplasty” as keywords. A selection of clinical cohort studies and systematic reviews were reviewed. RESULTS: Strictures in CD are described as either inflammatory or fibrotic. They can occur de novo, at sites of bowel anastomosis or in the ileal pouch. CD-related strictures generally show a poor response to medical therapies, and surgical bowel resection or surgical strictureplasty are often required. Over the last three decades, the potential role of endoscopic balloon dilatation has grown in importance, and nowadays this technique is a valid option, complementary to surgery. CONCLUSION: Patients with stricturing CD require complex clinical management, which benefits from a multidisciplinary approach: gastroenterologists, pediatricians, radiologists, surgeons, specialist nurses, and dieticians are among the health care providers involved in supporting these patients throughout diagnosis, prevention of complications, and treatment. |
format | Online Article Text |
id | pubmed-4388000 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-43880002015-04-15 The multidisciplinary health care team in the management of stenosis in Crohn’s disease Gasparetto, Marco Angriman, Imerio Guariso, Graziella J Multidiscip Healthc Review BACKGROUND: Stricture formation is a common complication of Crohn’s disease (CD), occurring in approximately one-third of all patients with this condition. Our aim was to summarize the available epidemiology data on strictures in patients with CD, to outline the principal evidence on diagnostic imaging, and to provide an overview of the current knowledge on treatment strategies, including surgical and endoscopic options. Overall, the unifying theme of this narrative review is the multidisciplinary approach in the clinical management of patients with stricturing CD. METHODS: A Medline search was performed, using “Inflammatory Bowel Disease”, “stricture”, “Crohn’s Disease”, “Ulcerative Colitis”, “endoscopic balloon dilatation” and “strictureplasty” as keywords. A selection of clinical cohort studies and systematic reviews were reviewed. RESULTS: Strictures in CD are described as either inflammatory or fibrotic. They can occur de novo, at sites of bowel anastomosis or in the ileal pouch. CD-related strictures generally show a poor response to medical therapies, and surgical bowel resection or surgical strictureplasty are often required. Over the last three decades, the potential role of endoscopic balloon dilatation has grown in importance, and nowadays this technique is a valid option, complementary to surgery. CONCLUSION: Patients with stricturing CD require complex clinical management, which benefits from a multidisciplinary approach: gastroenterologists, pediatricians, radiologists, surgeons, specialist nurses, and dieticians are among the health care providers involved in supporting these patients throughout diagnosis, prevention of complications, and treatment. Dove Medical Press 2015-03-31 /pmc/articles/PMC4388000/ /pubmed/25878504 http://dx.doi.org/10.2147/JMDH.S38729 Text en © 2015 Gasparetto et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Review Gasparetto, Marco Angriman, Imerio Guariso, Graziella The multidisciplinary health care team in the management of stenosis in Crohn’s disease |
title | The multidisciplinary health care team in the management of stenosis in Crohn’s disease |
title_full | The multidisciplinary health care team in the management of stenosis in Crohn’s disease |
title_fullStr | The multidisciplinary health care team in the management of stenosis in Crohn’s disease |
title_full_unstemmed | The multidisciplinary health care team in the management of stenosis in Crohn’s disease |
title_short | The multidisciplinary health care team in the management of stenosis in Crohn’s disease |
title_sort | multidisciplinary health care team in the management of stenosis in crohn’s disease |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4388000/ https://www.ncbi.nlm.nih.gov/pubmed/25878504 http://dx.doi.org/10.2147/JMDH.S38729 |
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