Practical guidelines on endoscopic treatment for Crohn's disease strictures: a consensus statement from the Global Interventional Inflammatory Bowel Disease Group

Bo Shen; Gursimran Kochhar; Udayakumar Navaneethan; Francis A. Farraye; David A. Schwartz; Marietta Iacucci; Charles N. Bernstein; Gerald Dryden; Raymond Cross; David H. Bruining; Taku Kobayashi; Martin Lukas; Amandeep Shergill; Martin Bortlik; Nan Lan; Milan Lukas; Shou Jiang Tang; Paulo Gustavo Kotze; Ravi P. Kiran; Parambir S. Dulai; Sandra El-Hachem; Nayantara Coelho-Prabhu; Shyam Thakkar; Ren Mao; Guodong Chen; Shengyu Zhang; Begoña González Suárez; Yago Gonzalez Lama; Mark S. Silverberg; William J. Sandborn

doi:10.1016/S2468-1253(19)30366-8

Practical guidelines on endoscopic treatment for Crohn's disease strictures: a consensus statement from the Global Interventional Inflammatory Bowel Disease Group

Bo Shen^*, Gursimran Kochhar, Udayakumar Navaneethan, Francis A. Farraye, David A. Schwartz, Marietta Iacucci, Charles N. Bernstein, Gerald Dryden, Raymond Cross, David H. Bruining, Taku Kobayashi, Martin Lukas, Amandeep Shergill, Martin Bortlik, Nan Lan, Milan Lukas, Shou Jiang Tang, Paulo Gustavo Kotze, Ravi P. Kiran, Parambir S. DulaiSandra El-Hachem, Nayantara Coelho-Prabhu, Shyam Thakkar, Ren Mao, Guodong Chen, Shengyu Zhang, Begoña González Suárez, Yago Gonzalez Lama, Mark S. Silverberg, William J. Sandborn

^*Corresponding author for this work

Medicine, Gastroenterology Division

Research output: Contribution to journal › Review article › peer-review

88 Scopus citations

Abstract

Stricture formation is a common complication of Crohn's disease, resulting from the disease process, surgery, or drugs. Endoscopic balloon dilation has an important role in the management of strictures, with emerging techniques, such as endoscopic electroincision and stenting, showing promising results. The underlying disease process, altered bowel anatomy from disease or surgery, and concurrent use of immunosuppressive drugs can make endoscopic procedures more challenging. There is an urgent need for the standardisation of endoscopic procedures and peri-procedural management strategies. On the basis of an extensive literature review and the clinical experience of the consensus group, which consisted of representatives from the Interventional Inflammatory Bowel Disease Group, we propose detailed guidance on all aspects of the principles and techniques for endoscopic procedures in the treatment of inflammatory bowel disease-associated strictures.

Original language	English (US)
Pages (from-to)	393-405
Number of pages	13
Journal	The Lancet Gastroenterology and Hepatology
Volume	5
Issue number	4
DOIs	https://doi.org/10.1016/S2468-1253(19)30366-8
State	Published - Apr 2020

Funding

DHB and WJS have received partial funding from the US National Institutes of Health. The consensus process, which included the development of the consensus statements, attendance of face-to-face meetings and voting, and electronic voting of revised consensus statements, was largely self-funded, with participants devoting their own free time and effort. In addition, the development, writing, and final approval of the manuscript were largely self-funded. Unrestricted grants (less than US$10 000 in value) were provided by Boston Scientific and OVESCO for the meeting space. DHB and WJS have received partial funding from the US National Institutes of Health. The consensus process, which included the development of the consensus statements, attendance of face-to-face meetings and voting, and electronic voting of revised consensus statements, was largely self-funded, with participants devoting their own free time and effort. In addition, the development, writing, and final approval of the manuscript were largely self-funded. Unrestricted grants (less than US$10 000 in value) were provided by Boston Scientific and OVESCO for the meeting space.

ASJC Scopus subject areas

Gastroenterology
Hepatology

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Shen, B., Kochhar, G., Navaneethan, U., Farraye, F. A., Schwartz, D. A., Iacucci, M., Bernstein, C. N., Dryden, G., Cross, R., Bruining, D. H., Kobayashi, T., Lukas, M., Shergill, A., Bortlik, M., Lan, N., Lukas, M., Tang, S. J., Kotze, P. G., Kiran, R. P., ... Sandborn, W. J. (2020). Practical guidelines on endoscopic treatment for Crohn's disease strictures: a consensus statement from the Global Interventional Inflammatory Bowel Disease Group. The Lancet Gastroenterology and Hepatology, 5(4), 393-405. https://doi.org/10.1016/S2468-1253(19)30366-8

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title = "Practical guidelines on endoscopic treatment for Crohn's disease strictures: a consensus statement from the Global Interventional Inflammatory Bowel Disease Group",

abstract = "Stricture formation is a common complication of Crohn's disease, resulting from the disease process, surgery, or drugs. Endoscopic balloon dilation has an important role in the management of strictures, with emerging techniques, such as endoscopic electroincision and stenting, showing promising results. The underlying disease process, altered bowel anatomy from disease or surgery, and concurrent use of immunosuppressive drugs can make endoscopic procedures more challenging. There is an urgent need for the standardisation of endoscopic procedures and peri-procedural management strategies. On the basis of an extensive literature review and the clinical experience of the consensus group, which consisted of representatives from the Interventional Inflammatory Bowel Disease Group, we propose detailed guidance on all aspects of the principles and techniques for endoscopic procedures in the treatment of inflammatory bowel disease-associated strictures.",

author = "Bo Shen and Gursimran Kochhar and Udayakumar Navaneethan and Farraye, {Francis A.} and Schwartz, {David A.} and Marietta Iacucci and Bernstein, {Charles N.} and Gerald Dryden and Raymond Cross and Bruining, {David H.} and Taku Kobayashi and Martin Lukas and Amandeep Shergill and Martin Bortlik and Nan Lan and Milan Lukas and Tang, {Shou Jiang} and Kotze, {Paulo Gustavo} and Kiran, {Ravi P.} and Dulai, {Parambir S.} and Sandra El-Hachem and Nayantara Coelho-Prabhu and Shyam Thakkar and Ren Mao and Guodong Chen and Shengyu Zhang and Su{\'a}rez, {Bego{\~n}a Gonz{\'a}lez} and Lama, {Yago Gonzalez} and Silverberg, {Mark S.} and Sandborn, {William J.}",

note = "Publisher Copyright: {\textcopyright} 2020 Elsevier Ltd",

year = "2020",

month = apr,

doi = "10.1016/S2468-1253(19)30366-8",

language = "English (US)",

volume = "5",

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journal = "The Lancet Gastroenterology and Hepatology",

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Shen, B, Kochhar, G, Navaneethan, U, Farraye, FA, Schwartz, DA, Iacucci, M, Bernstein, CN, Dryden, G, Cross, R, Bruining, DH, Kobayashi, T, Lukas, M, Shergill, A, Bortlik, M, Lan, N, Lukas, M, Tang, SJ, Kotze, PG, Kiran, RP, Dulai, PS, El-Hachem, S, Coelho-Prabhu, N, Thakkar, S, Mao, R, Chen, G, Zhang, S, Suárez, BG, Lama, YG, Silverberg, MS & Sandborn, WJ 2020, 'Practical guidelines on endoscopic treatment for Crohn's disease strictures: a consensus statement from the Global Interventional Inflammatory Bowel Disease Group', The Lancet Gastroenterology and Hepatology, vol. 5, no. 4, pp. 393-405. https://doi.org/10.1016/S2468-1253(19)30366-8

Practical guidelines on endoscopic treatment for Crohn's disease strictures: a consensus statement from the Global Interventional Inflammatory Bowel Disease Group. / Shen, Bo; Kochhar, Gursimran; Navaneethan, Udayakumar et al.
In: The Lancet Gastroenterology and Hepatology, Vol. 5, No. 4, 04.2020, p. 393-405.

Research output: Contribution to journal › Review article › peer-review

TY - JOUR

T1 - Practical guidelines on endoscopic treatment for Crohn's disease strictures

T2 - a consensus statement from the Global Interventional Inflammatory Bowel Disease Group

AU - Shen, Bo

AU - Kochhar, Gursimran

AU - Navaneethan, Udayakumar

AU - Farraye, Francis A.

AU - Schwartz, David A.

AU - Iacucci, Marietta

AU - Bernstein, Charles N.

AU - Dryden, Gerald

AU - Cross, Raymond

AU - Bruining, David H.

AU - Kobayashi, Taku

AU - Lukas, Martin

AU - Shergill, Amandeep

AU - Bortlik, Martin

AU - Lan, Nan

AU - Lukas, Milan

AU - Tang, Shou Jiang

AU - Kotze, Paulo Gustavo

AU - Kiran, Ravi P.

AU - Dulai, Parambir S.

AU - El-Hachem, Sandra

AU - Coelho-Prabhu, Nayantara

AU - Thakkar, Shyam

AU - Mao, Ren

AU - Chen, Guodong

AU - Zhang, Shengyu

AU - Suárez, Begoña González

AU - Lama, Yago Gonzalez

AU - Silverberg, Mark S.

AU - Sandborn, William J.

PY - 2020/4

Y1 - 2020/4

N2 - Stricture formation is a common complication of Crohn's disease, resulting from the disease process, surgery, or drugs. Endoscopic balloon dilation has an important role in the management of strictures, with emerging techniques, such as endoscopic electroincision and stenting, showing promising results. The underlying disease process, altered bowel anatomy from disease or surgery, and concurrent use of immunosuppressive drugs can make endoscopic procedures more challenging. There is an urgent need for the standardisation of endoscopic procedures and peri-procedural management strategies. On the basis of an extensive literature review and the clinical experience of the consensus group, which consisted of representatives from the Interventional Inflammatory Bowel Disease Group, we propose detailed guidance on all aspects of the principles and techniques for endoscopic procedures in the treatment of inflammatory bowel disease-associated strictures.

AB - Stricture formation is a common complication of Crohn's disease, resulting from the disease process, surgery, or drugs. Endoscopic balloon dilation has an important role in the management of strictures, with emerging techniques, such as endoscopic electroincision and stenting, showing promising results. The underlying disease process, altered bowel anatomy from disease or surgery, and concurrent use of immunosuppressive drugs can make endoscopic procedures more challenging. There is an urgent need for the standardisation of endoscopic procedures and peri-procedural management strategies. On the basis of an extensive literature review and the clinical experience of the consensus group, which consisted of representatives from the Interventional Inflammatory Bowel Disease Group, we propose detailed guidance on all aspects of the principles and techniques for endoscopic procedures in the treatment of inflammatory bowel disease-associated strictures.

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DO - 10.1016/S2468-1253(19)30366-8

M3 - Review article

C2 - 31954438

AN - SCOPUS:85081266504

SN - 2468-1253

VL - 5

SP - 393

EP - 405

JO - The Lancet Gastroenterology and Hepatology

JF - The Lancet Gastroenterology and Hepatology

IS - 4

ER -

Practical guidelines on endoscopic treatment for Crohn's disease strictures: a consensus statement from the Global Interventional Inflammatory Bowel Disease Group

Abstract

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