Approach to Endoscopic Balloon Dilatation in Pediatric Stricturing Crohn Disease: A Position Paper of the Endoscopy Special Interest Group of ESPGHAN.

Crohn disease (CD) is often complicated by bowel strictures that can lead to obstructive symptoms, resistant inflammation, and penetrating complications. Endoscopic balloon dilatation of CD strictures has emerged as a safe and effective technique for relieving these strictures, which may obviate the need for surgical intervention in the short and medium term. This technique appears to be underutilized in pediatric CD. This position paper of the Endoscopy Special Interest Group of European Society for Pediatric Gastroenterology, Hepatology and Nutrition describes the potential applications, appropriate evaluation, practical technique, and management of complications of this important procedure. The aim being to better integrate this therapeutic strategy in pediatric CD management.
Competing Interests: S.O. received consulting fees from Medtronic and Sanofi. J.A.D. has participated as a speaker for Danone Nutricia, Takeda, Ferrer, Capricare, and Biocodex, and on advisory boards for Danone, Bristol Myers Squibb, and Adacyte. C.T. received last 3-years payments/honoraria for lectures/consultations from Sanofi, Takeda, Nestle, Nutricia, Abbvie, Novalac, Olympus, and Genpharm. The remaining authors report no conflicts of interest.
(Copyright © 2023 by European Society for European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition.)