Bougie dilators: simple, safe and cost-effective treatment for Crohn’s-related fibrotic anal strictures

Bougie dilators: simple, safe and cost-effective treatment for Crohn’s-related fibrotic anal strictures

Can J Surg 2015;58(5):347-348 | PDF

Soleiman B. Kashkooli, MD; Sujon Samanta, MBBS; Mehrdad Rouhani, MD; Shoaleh Akbarzadeh, MSc; Fred Saibil, MD

Summary

Anal strictures with fibrotic induration have been shown to develop in up to 50% of all patients with Crohn’s disease (CD) with anal ulceration. We evaluate the technical feasibility, safety and long-term efficacy of bougie dilation for a subgroup of patients with symptomatic Crohn’s-related fibrotic anal strictures. Bougie dilation is simple to perform, relatively inexpensive and has a low risk of complications.


Accepted for publication Mar. 4, 2015

Affiliations: From the Division of Gastroenterology, Sunnybrook Health Sciences Centre, Department of Medicine, University of Toronto, Toronto, Ont.

Competing interests: S. Kashkooli and S. Samanta are supported in part by unrestricted grants from Janssen Inc., Abbvie, Ferring Canada Inc., and Actavis Canada Inc. No other competing interests declared.

Contributors: All authors contributed substantially to writing and/or revising and to the conception and design of the manuscript and approved the final version for publication.

DOI: 10.1503/cjs.001315

Correspondence to: F. Saibil, Division of Gastroenterology, Sunnybrook Health Sciences Centre, 2075 Bayview Ave., Toronto, ON, M4N 3M5; fred.saibil@utoronto.ca