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Systematic review: medical therapy for fibrostenosing Crohn's disease.


ABSTRACT:

Background

Medical therapy and/or endoscopic balloon dilation with intralesional therapies are options for the treatment of small bowel fibrostenotic Crohn's disease (CD).

Aim

To perform a systematic review summarising evidence for efficacy of systemic and endoscopic intralesional medical therapy in established small bowel strictures in adult CD patients.

Methods

A systematic search of MEDLINE, EMBASE, CENTRAL and Scopus was conducted. Primary outcomes were rates of surgical resection and repeat endoscopic dilation. Pooled event rates from random effects models across studies with 95% confidence intervals were reported.

Results

Ten studies describing systemic medical therapy and eight studies of intralesional injection were included. One randomised controlled t

SUBMITTER: Lu C 

PROVIDER: S-EPMC7777136 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature

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