Rectal stricture dilatation under direct vision with an over-the-scope BougieCap.
Joanna Park, Tamzin Cuming, Iain Ewing
✦ AI-curated · Sources linked
Case in brief
A patient with a benign low rectal stricture due to Crohn's disease presented with symptoms of liquid seepage and obstructed defecation. The stricture was so severe that a 12 mm gastroscope could not be passed. Using an Ovesco BougieCap, the stricture was dilated under direct vision, allowing for subsequent flexible sigmoidoscopy and biopsy. The patient reported consistent symptom improvement at follow-up.
Diagnostic / clinical pearl
The Ovesco BougieCap allows for direct vision during stricture dilatation, facilitating controlled gradual dilation and subsequent procedures.
Why it matters
This case highlights a novel approach to managing rectal strictures in Crohn's disease, emphasizing the need for further studies to assess the long-term efficacy of this technique.