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Authors Bickston SJ, Foley E, Lawrence C, Rockoff T, Shaffer HA, Yeaton P
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Journal Dis. Colon Rectum Volume: 48 Issue: 5 Pages: 1081-5
Publish Date 2005 May
PubMed ID 15785899

Enteral strictures are a frequent indication for surgery in Crohn’s disease. Postoperative complications are increased in patients with poor preoperative nutritional status, which is common in this patient population. We present a 49-year-old female with longstanding Crohn’s disease admitted to our Digestive Health Center with four weeks of increasing abdominal symptoms and radiographic evidence of small-bowel obstruction caused by ileal stricture. Given her poor nutritional status, our team elected to pursue metallic enteral stenting as a bridge to surgical resection. Two Wallstents were placed; luminal patency was subsequently confirmed by a fluoroscopic study. The patient tolerated regular diet and was discharged. When seen in follow-up, she remained asymptomatic and wished to defer surgical intervention indefinitely. Copyright © 2016 The Board of Regents of the University of Wisconsin System