Crohn's Disease with Symptomatic Intestinal Strictures and a Fibrostenotic-Predominant Picture
This protocol addresses a specific subset of patients with Crohn's disease who present with symptomatic intestinal strictures alongside imaging or endoscopic findings that point to a fibrostenotic-predominant pattern — such as prestenotic dilation or multiple strictures.
Clinical Scenario
Patients with Crohn's disease who have symptomatic strictures and endoscopic or radiologic features indicating a predominantly fibrostenotic picture — including findings such as prestenotic dilation or multiple strictures — represent a distinct management situation in which anti-inflammatory therapy alone may be insufficient.
Approach Overview
Partial hint only — full regimen in the protocol: For this fibrostenotic presentation, the approach involves an interventional strategy rather than purely medical management. The complete decision framework — including patient selection, sequencing, and all relevant clinical considerations — is in the full protocol.
References
Patients with CD with symptomatic strictures plus endoscopic or radiologic features indicating more of a fibrostenotic-predominant picture may benefit from endoscopic dilation or surgery.
DOI: 10.14309/ajg.0000000000003465
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