Original Articles: Endoscopy and ProceduresApproach to Endoscopic Balloon Dilatation in Pediatric Stricturing Crohn Disease: A Position Paper of the Endoscopy Special Interest Group of ESPGHANLedder, Oren MD*; Homan, Matjaž MD†; Furlano, Raoul MD‡; Papadopoulou, Alexandra MD§; Oliva, Salvatore MD∥; Dias, Jorge Amil MD¶; Dall’oglio, Luigi MD#; Faraci, Simona MD**; Narula, Priya MD††; Schluckebier, Dominique MD††; Hauser, Bruno MD‡‡; Nita, Andreia MD§§; Romano, Claudio MD∥∥; Tzivinikos, Christos MD¶¶; Bontems, Patrick MD##; Thomson, Mike MD†† Author Information From the *Juliet Keidan Institute of Paediatric Gastroenterology, Shaare Zedek Medical Center, Hebrew University of Jerusalem, Jerusalem, Israel the †Department of Gastroenterology, Hepatology, and Nutrition, Faculty of Medicine, University Children’s Hospital, University of Ljubljana, Ljubljana, Slovenia the ‡Department of Pediatric Gastroenterology, University Children’s Hospital Basel, Basel, Switzerland the §First Department of Pediatrics, Athens Children’s Hospital “Agia Sofia”, University of Athens, Athens, Greece the ∥Pediatric Gastroenterology and Liver Unit, Maternal and Child Health Department, Sapienza - University of Rome, Rome, Italy the ¶Department of Paediatric Gastroenterology, Hospital Lusíadas, Porto, Portugal the #Digestive Endoscopy Surgery Unit, Bambino Gesù Children’s Hospital IRCCS, Rome, Italy the **Digestive Endoscopy, Gastroenterology, Hepatology, and Nutrition Unit, Bambino Gesù Children’s Hospital IRCCS, Rome, Italy the ††Department of Paediatric Gastroenterology, Sheffield Children’s Hospital, Sheffield, United Kingdom the ‡‡Department of Pediatric Gastroenterology, Hepatology and Nutrition, KidZ Health Castle, Vrije Universiteit Brussel (VUB), UZ Brussel, Brussels, Belgium the §§Paediatric Gastroenterology Department, Great Ormond Street Hospital, London, United Kingdom the ∥∥Department of Pediatric Gastroenterology, University of Messina, Sicily, Italy the ¶¶Department of Pediatric Gastroenterology, Al Jalila Children’s Hospital, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates the ##Department of Pediatric Gastroenterology, Queen Fabiola Children’s University Hospital, Bruxelles, Belgium. Disclaimer: Although this paper is produced by the ESPGHAN Endoscopy SIG it does not necessarily represent ESPGHAN policy and is not endorsed by ESPGHAN. Received December 1, 2022; accepted February 21, 2023. 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. Address correspondence and reprint requests to Oren Ledder, MD, Pediatric Gastroenterology and Nutrition Unit, Shaare Zedek Medical Center, P.O.B. 3235, Jerusalem 91031, Israel (e-mail: [email protected]). Journal of Pediatric Gastroenterology and Nutrition 76(6):p 799-806, June 2023. | DOI: 10.1097/MPG.0000000000003752 Buy Metrics Abstract 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. Copyright © 2023 by European Society for European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition.