What question did this study set out to answer?

To explore the effectiveness of intestinal ultrasound in guiding endoscopic treatment of bowel obstruction due to fibrostenosis in Crohn's disease.

February 11, 2026Open Access

Intestinal Ultrasound–Assisted Endoscopic Management of Acute Bowel Obstruction in a Patient With Crohn's Disease

Key Points

To explore the effectiveness of intestinal ultrasound in guiding endoscopic treatment of bowel obstruction due to fibrostenosis in Crohn's disease.
Patient with fibrostenotic Crohn's disease underwent intestinal ultrasound assessment.
Endoscopic balloon dilation was performed guided by the ultrasound findings.
Pathophysiology and treatment implications were discussed based on the case.
Successful dilation of the bowel obstruction was achieved using the IUS-guided technique.
The approach highlights the viability of integrating IUS in routine Crohn's disease management.
Potential for improved patient monitoring and treatment strategies was indicated.

Abstract

ABSTRACT Endoscopic balloon dilation is an established option for the management of fibrostenosing Crohn's disease (CD). Transmural assessment by cross-sectional imaging in addition to endoscopy is imperative for the management of patients with stenoses. Intestinal ultrasound (IUS) is a noninvasive, relatively inexpensive, point-of-care disease monitoring tool being incorporated into daily clinical practice in inflammatory bowel disease. With the rise in IUS utilization in the management of CD, there are opportunities to understand the pathophysiology of this condition and its treatment in new ways. We describe the first successful IUS-guided endoscopic balloon dilation in a patient with fibrostenotic CD who presented with bowel obstruction.

Intestinal Ultrasound–Assisted Endoscopic Management of Acute Bowel Obstruction in a Patient With Crohn's Disease

Key Points

Abstract

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