Balloon dilation vs strictureplasty for short ileal strictures

What is known

• Meta-analytic EBD outcomes: 94.9% technical success, 82.3% symptomatic relief, 5.3% major complications, 38.8% repeat dilation, 27.4% eventual surgery over mean 20.5 months. ¹
• Short (<4 cm) fibrotic or anastomotic strictures with symptoms persisting or recurring despite repeated dilation are proposed candidates for endoscopic stricturotomy/strictureplasty as a next step over EBD. ¹
• Retrieved comparative studies contrast EBD with surgical resection for primary ileocolic and anastomotic strictures, not with laparoscopic strictureplasty. ^2–4

What is unknown / caveats

• No head-to-head EBD vs laparoscopic strictureplasty data in the retrieved corpus
• Reported EBD reintervention rates are over ~20-month follow-up, not the specific 12-month window asked
• No time-to-symptom-relief metric reported for either arm
• The specific comparison and the 12-month reintervention/time-to-relief endpoints are not addressed by the retrieved evidence.

References

1. Navaneethan U, Lourdusamy D. Endoscopic Stricturotomy and Strictureplasty. Gastrointest Endosc Clin N Am. 2022;32(4):687-697. PMID: 36202510.

2. Elford AT, Ardalan Z, Simkin P, Christensen B. Comprehensive review and update of stricturing Crohn's disease. Indian J Gastroenterol. 2024;43(1):64-77. PMID: 38277070.

3. Matsuhashi N, Nakajima A, Suzuki A, Yazaki Y, Takazoe M. Long-term outcome of non-surgical strictureplasty using metallic stents for intestinal strictures in Crohn's disease. Gastrointest Endosc. 2000;51(3):343-5. PMID: 10699786.

4. Pellino G, Keller DS, Sampietro GM, Angriman I, Carvello M, Celentano V, Colombo F, Di Candido F, Laureti S, Luglio G, Poggioli G, Rottoli M, Scaringi S, Sciaudone G, Sica G, Sofo L, Leone S, Danese S, Spinelli A, Delaini G, Selvaggi F, Italian Society of Colorectal Surgery SICCR. Inflammatory bowel disease position statement of the Italian Society of Colorectal Surgery (SICCR): Crohn's disease. Tech Coloproctol. 2020;24(5):421-448. PMID: 32172396.

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Draft, generated by the IBDology RAG and not yet clinician-reviewed. Answers are grounded in the retrieved literature listed above; a high faithfulness score means the answer matches its sources, not that the sources are correct.