Korean Journal of Gastrointestinal Endoscopy 2005;30(2): 108-113.
부우지 확장술과 국소 스테로이드 주입으로 치료한 크론병에 동반된 직장 협착
허진국·김유선·김선영·조주연·김 일·류수형·이정환·문정섭
인제대학교 의과대학 서울백병원 내과학교실
Treatment of Rectal Stricture with Crohn's Disease Using Local Steroid Injection Following Dilation by Bougienation
Jin Gook Huh, M.D., You Sun Kim, M.D., Sun Young Kim, M.D., Ju Yeon Cho, M.D., Il Kim, M.D., Soo Hyung Ryu, M.D., Jung Whan Lee, M.D. and Jeong Seop Moon, M.D.
Department of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea
Abstract
Crohn's disease has shown increased frequency in Korea. When unresponsive to medical therapy, intestinal stricture, a serious complication of Crohn's disease, sometimes requires surgical resection. However, surgical therapy has many problems because the stricture tend to recur frequently. Recently, endoscopic therapy such as bougienation or balloon dilatation has been used in treatment of intestinal stricture, because of its inexpensiveness, simplicity and safety. Combined steroid injection therapy using has shown more effective outcome than endoscopic dilatation alone by suppression of wound healing and reduction of fibrosis. We report a case of complicated rectal stricture in a patient with Crohn's disease, which dilated successfully using injection of triamcinolone following bougienation. (Korean J Gastrointest Endosc 2005;30:108113)
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