Related Experiment Video
Updated: Dec 11, 2025

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
Published on: May 2, 2025
Experience with Balloon Dilatation in Crohn's and Non-Crohn's Benign Small-Bowel Strictures: Is There a Difference?
Akiyoshi Tsuboi1, Shiro Oka1, Shinji Tanaka2
1Department of Gastroenterology and Metabolism, Hiroshima University Hospital, Hiroshima, Japan.
Endoscopic balloon dilation (EBD) is effective for non-Crohn's disease (CD) small-bowel strictures, showing high success rates. This minimally invasive procedure offers good clinical outcomes comparable to those in CD patients.
Area of Science:
- Gastroenterology
- Endoscopy
- Surgical Innovation
Background:
- Endoscopic balloon dilation (EBD) is established for Crohn's disease (CD) small-bowel strictures.
- Efficacy of EBD for non-CD small-bowel strictures remains unclear.
- This study compares EBD outcomes in non-CD versus CD patients.
Purpose of the Study:
- To evaluate the clinical efficacy and safety of EBD for small-bowel strictures in non-CD patients.
- To compare these outcomes with those in CD patients.
Main Methods:
- Retrospective analysis of 98 patients with small-bowel strictures diagnosed via double-balloon endoscopy.
- Evaluation of EBD success rates (short-term and long-term) and safety profiles.
- Comparison between non-CD and CD patient groups.
Main Results:
- EBD was performed in 12 non-CD patients and 11 CD patients.
- Short-term success rate was 100% for non-CD and 100% for CD patients.
- Long-term success rates were 92% for non-CD and 82% for CD patients, with comparable surgery-free rates and one adverse event (bleeding) in the non-CD group.
Conclusions:
- Endoscopic balloon dilation shows promising clinical outcomes for small-bowel strictures in non-CD patients.
- EBD is a viable treatment option for non-CD related small-bowel strictures.
- Further research may solidify EBD indications beyond CD.
Related Concept Videos
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
Chronic Bowel Disorders: Introduction
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Esophageal Strictures-II: Clinical Features and Management
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Esophageal Strictures-I: Introduction
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Inflammatory Bowel Disease II: Crohn's Disease
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...

