Korean Journal of Gastrointestinal Endoscopy 1997;17(5): 711-715.
증례 : 위장관 ; 크론병으로 인한 대장협착의 내시경적 풍선확장술 1예 ( Case Reports : Stomach & Intestine ; A Case of TTS Balloon Dilation of Colonic Crohn's Stricture )
황진혁, 김진, 문선희, 김지원, 차성덕, 김찬규, 박민정, 정현채, 송인성, 최규완, 김정룡 (Jin Hyok Hwang, Jin Kim, Sun Hi Moon, Ji Won Kim, Sung Duk Cha, Chan Gyoo Kim, Min Jeong Park, Hyun Chae Jung, In Sung Song, Kyoo Wan Choi and Chung Yong Kim)
Abstract
Chronic idiopathic inflamatory bowel disease, espcaially Crohn's disease, is frequently complicated with low gastrointestinal stricture. Besides medical treatment of active inflammation, there is no specific, conservative approach to this complication, Repetitive surgery with extensive resections, leading to short bowel syndrome, is often necessary. Balloons have been used for a variety of gastrointestinal stenoses including esophageal, small intestinal, and colonic stricture. Balloon dilation offers many theoretical advantages (safety, and patient comfort) over dilation with bougies. Especially, the availability of large diameter balloon dilators, which pass through the biopsy channel of standard endoscopes (through-the scope balloon or TTS balloon), has promised efficient direct-vision dilatation of strictures without the need of guide wires or fluoroscope. We report a case of colonic Crohn's stricture dilated successfully using TTS balloon catheter. (Korean J Gastrointest Endosc 17: 711-715, 1997)
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