Triamcinolone improves outcome in Crohn's disease strictures

PURPOSE: This study was undertaken to examine the effect of local injection of potent steroids on recurrence of Crohn's disease strictures. METHODS: Ten patients with colonic strictures attributable to Crohns disease were treated by dilation and injection of triamcinolone. Five of tllcm had postoperative strictures. RESULTS: Patients were followed for 1.5 to 3 years. Two patients required additional dilation and injection of steroids after one year. Eight patients remained well. CONCLUSION: Local injection of steroids improves outcome in strictures caused by Crohn`s disease.