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Pilot Study Investigating the Safety and Efficacy of Metallic Stent Insertion for Ileocolonic Anastomotic Strictures Related to Crohn's Disease: A Study Protocol.
The Kurume medical journal

Cure8 research brief

Pilot Study Investigating the Safety and Efficacy of Metallic Stent Insertion for Ileocolonic Anastomotic Strictures Related to Crohn's Disease: A Study Protocol.

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Why This Matters

People with Crohn’s disease who develop narrowing at an ileocolonic surgical anastomosis often need repeated dilation or surgery. This pilot study tests using a self-expandable metallic stent (SEMS) as a possible alternative to reduce repeat procedures or bleeding after endoscopic cutting.

Who Should Pay Attention

Gastroenterologists and colorectal surgeons treating Crohn’s-related anastomotic strictures; clinical researchers in endoscopic treatments; patients with recurrent ileocolonic anastomotic strictures seeking information on new procedural options.

Study Snapshot

Story typeResearch paper
Evidence typeResearch paper
Source depthJournal abstract

What To Know

This article describes a small, single-center pilot study protocol testing self-expandable metallic stents (SEMS) to treat ileocolonic anastomotic strictures after surgery for Crohn’s disease.

The team plans to enroll five adults with prior endoscopic dilation or radial incision and cutting (RIC) for such strictures and will use a biliary SEMS off-label for endoscopic placement. The primary goal is to assess safety—focusing on adverse events of special interest such as delayed bleeding and perforation.

Secondary measures include technical success, procedure time, symptom change (measured by a visual analog scale), stent migration, success of stent removal after one week, and hospitalization length.

Because this is an exploratory pilot study with only five participants and uses a biliary stent in a novel indication, results will mainly inform feasibility and safety signals rather than provide definitive evidence about effectiveness.

Keep In Mind

Pilot protocol/abstract only: very small (five-patient) single-arm study using a biliary SEMS off-label. Primary focus is safety (delayed bleeding, perforation); efficacy and long-term outcomes will require larger trials.

Source Details

Review the original publication for the complete reporting, methods, and context.

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Research paper Evidence type derived from source or registry metadata.
PublicationThe Kurume medical journal
AuthorsMoroi R, Nochioka K, Iwaki H +6 more
Study typeIm, journal article
Indexed viaEurope PMC
Source typeResearch paper
PublishedAug 31, 2026, 12:00 AM
Content availableJournal abstract

This Cure8 brief is based on source text from the linked article. Cure8 is informational only and is not a substitute for professional medical advice, diagnosis, or treatment.

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