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Review
. 2021 Jul;34(4):227-232.
doi: 10.1055/s-0041-1729926. Epub 2021 Jul 20.

Crohn's Disease Obstructions

Molly M Ford  1
Affiliations
Review

Crohn's Disease Obstructions

Molly M Ford. Clin Colon Rectal Surg. 2021 Jul.

Abstract

Obstruction from stricturing Crohn's disease remains one of the most common reasons for intervention. Acute inflammation is often responsive to medications, but chronic fibrosis is unlikely to respond and will generally go on to require additional treatment. Newer methods, such as endoscopic balloon dilation, are gaining grounds in strictures that are amenable, but with high recurrence and strictures that may not be endoscopically accessible, surgery still plays a key role in the treatment of obstructing Crohn's disease.

Keywords: Crohn's disease; bowel obstruction; stricture.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
( a ) Crohn's stricture with proximal dilatation (note the fibrostenotic appearance of the proximal small bowel). ( b ) Maximal chronic dilatation of the small bowel. ( c ) Axial image of small bowel stricture.
Fig. 2
Fig. 2
Colonic Chron's stricture.
Fig. 3
Fig. 3
Small bowel stricture with dilated proximal intestine.
See this image and copyright information in PMC

References

    1. Bernell O, Lapidus A, Hellers G. Risk factors for surgery and postoperative recurrence in Crohn's disease. Ann Surg. 2000;231(01):38–45. - PMC - PubMed
    1. Kosmidis C, Anthimidis G. Emergency and elective surgery for small bowel Crohn's disease. Tech Coloproctol. 2011;15 01:S1–S4. - PubMed
    1. Toh J W, Stewart P, Rickard M J, Leong R, Wang N, Young C J. Indications and surgical options for small bowel, large bowel and perianal Crohn's disease. World J Gastroenterol. 2016;22(40):8892–8904. - PMC - PubMed
    1. Gasche C, Grundtner P. Genotypes and phenotypes in Crohn's disease: do they help in clinical management? Gut. 2005;54(01):162–167. - PMC - PubMed
    1. Goldstone R N, Steinhagen R M. Abdominal emergencies in inflammatory bowel disease. Surg Clin North Am. 2019;99(06):1141–1150. - PubMed