PulseExploreJournal ClubDebatesTrendingResearchersJournals
Instagram
HomeExploreJournal ClubTrending
Synapse
⌘+K
Synapse
February 11, 2026ACG Case Reports Journal0 citationsOpen Access

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

View Full Paper
YMYusuke MiyataniNCNatalie K. ChoiNCNoa Krugliak Cleveland

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.

Ask AI
Helpful
Bookmark
Share
View Full Paper

Cite This Study

Miyatani et al. (2026) studied this question.

synapsesocial.com/papers/698c1cb3267fb587c655f463https://doi.org/10.14309/crj.0000000000001987
Ask AI
Helpful
Bookmark
Share
View Full Paper

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Small bowel stenosis in Crohn's disease: clinical, biochemical and ultrasonographic evaluation of histological features2003 · 132 citations
  2. 2Defining Transabdominal Intestinal Ultrasound Treatment Response and Remission in Inflammatory Bowel Disease: Systematic Review and Expert Consensus Statement2021 · 171 citations
  3. 3Crohn's disease2024 · 552 citations
  4. 4Risk Factors Associated With Progression to Intestinal Complications of Crohn's Disease in a Population-Based Cohort2010 · 797 citations
  5. 5International expert guidance for defining and monitoring small bowel strictures in Crohn's disease on intestinal ultrasound: a consensus statement2024 · 35 citations