1. Efficacy and safety of endoscopic balloon dilation in inflammatory bowel disease: results of the large multicenter study of the ENEIDA registry
- Author
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Andujar, X, Loras, C, Gonzalez, B, Socarras, M, Sanchiz, V, Bosca, M, Domenech, E, Calafat, M, Rodriguez, E, Sicilia, B, Calvet, X, Barrio, J, Guardiola, J, Iglesias, E, Casanova, MJ, Ber, Y, Monfort, D, Lopez-Sanroman, A, Rodriguez-Lago, I, Bujanda, L, Marquez, L, Martin-Arranz, MD, Zabana, Y, Fernandez-Banares, F, Esteve, M, Panes, J, Minguez, M, Sanchez, VG, Perez-Gisbert, J, Gomollon, F, Piqueras, M, Cabriada, JL, and Andreu, M
- Subjects
Crohn's disease ,Endoscopic balloon dilation ,Inflammatory bowel disease - Abstract
Background There is no information regarding the outcome of Crohn's disease (CD) patients treated with endoscopic balloon dilation (EBD) in non-referral hospitals, nor on the efficacy of EBD in ulcerative colitis (UC). We report herein the results of the largest series published to date. Aim To assess the efficacy and safety of EBD for inflammatory bowel disease (IBD) stenosis performed in 19 hospitals with different levels of complexity and to determine factors related to therapeutic success. Methods We identified IBD patients undergoing EBD in the ENEIDA database. Efficacy of EBD was compared between CD and UC and between secondary and tertiary hospitals. Predictive factors of therapeutic success were assessed with multivariate analysis. Results Four-hundred dilations (41.2% anastomotic) were performed in 187 IBD patients (13 UC/Indeterminate colitis). Technical and therapeutic success per dilation was achieved in 79.5% and 55.3%, respectively. Therapeutic success per patient was achieved in 78.1% of cases (median follow-up: 40 months) with 49.7% requiring more than one dilation. No differences related to either diagnosis or hospital complexity was found. Technical success [OR 4.12 (95%CI 2.4-7.1)] and not receiving anti-TNF at the time of dilation [OR 1.7 (95% CI 1.1-2.6)] were independently related to therapeutic success per dilation. A stricture length
- Published
- 2020