Strictures of the small bowel are an underdiagnosed entity with significant morbidity because of obstruction and risk of perforation and penetrating disease.
Recent advances in imaging, enteroscopy, and therapeutic advances particularly in Crohn's disease have enabled gastroenterologists to target and individualize management of small bowel strictures, preventing untimely surgery and complications.
All patients with obstructive symptoms, suspected small bowel disease, and negative panendoscopy should be evaluated for small intestinal strictures with cross-sectional imaging and considered for capsule endoscopy. Furthermore, the role of device-assisted enteroscopy, initially employed as a diagnostic tool, has evolved into triaging and delivering further medical and interventional treatments.
aPrince of Wales Clinical School, UNSW Medicine, Gastrointestinal and Liver Unit, Prince of Wales Hospital, Randwick
bAW Morrow Gastroenterology and Liver Centre, Royal Prince Alfred Hospital, RPA Medical Centre, Camperdown, Sydney, New South Wales, Australia
Correspondence to Arthur J. Kaffes, MBBS, FRACP, AW Morrow Gastroenterology and Liver Centre, Royal Prince Alfred Hospital, Suite G10, RPA Medical Centre, 100 Carillon Ave., Camperdown, Sydney, NSW 2050, Australia. Tel: +61 295 162033; fax: +61 295 160778; e-mail: firstname.lastname@example.org