Clinical Outcomes of Surgery Versus Endoscopic Balloon Dilation for Stricturing XXXX .

@entity1 @entity384 @entity30
BACKGROUND: @entity384 and surgery are commonly practiced in stricturing @entity30 . Nonetheless, there are still scant data directly comparing these 2 strategies. OBJECTIVE: The aim of this study was to compare the short- and long-term outcomes of @entity384 versus surgical resection in symptomatic @entity30 . DESIGN: This was a retrospective cohort study. SETTINGS: The study was conducted at a single tertiary center. @entity1 : Seventy-nine @entity1 were identified, 40 in the surgical group and 39 in the @entity384 group (mean age 42.8        13.9 versus 38.5        12.2 years). MAIN OUTCOME MEASURES: The outcomes of all @entity1 referred for @entity384 were compared with @entity1 referred to surgery because of stricturing disease between the years 2006 and 2013. The primary outcome was the need for reintervention (either @entity384 or surgery) for symptomatic @entity30 during follow-up. RESULTS: The proportion of @entity1 who required any reintervention during follow-up was significantly lower in the surgical group versus the @entity384 group (OR = 5.62 (95% CI, 1.66-19.01); p = 0.005). The need for surgery/resurgery during follow-up was also significantly lower in the surgically treated group (OR = 3.53 (95% CI, 1.01-12.29); p = 0.047). Reintervention-free survival and surgery-free survival were both significantly shorter in the endoscopically treated group in a Kaplan-Mayer analysis. The rate of major complications was similar in the endoscopically and surgically treated groups (7.6% versus 7.5%; p = 0.7). LIMITATIONS: The small cohort and the retrospective data collection were limitations of this study. CONCLUSIONS: In our cohort of @entity1 with fibrostenotic @entity30 , a direct comparison showed reduced need for reinterventions with a similar rate of immediate major complications after surgery compared with @entity384 .
