Strictures affect approximately 50% of patients with Crohn's disease during their disease course.1,2 Conventional treatments for strictures include endoscopic therapies such as balloon dilation, intralesional injection of therapeutic agents, or insertion of self-expanding stents.3 In some cases, surgery may be warranted for difficult-to-treat strictures. The IT (insulated tip) knife, which involves nonpolar electroincision, has been adopted from pancreaticobiliary endoscopy. However, IT knife stricturoplasty to treat refractory fibrostenotic strictures has been described only in a few case reports.4–6 We present a patient with Crohn's disease whose abdominal pain resolved after IT knife stricturoplasty of colorectal strictures and fecalith decompaction of a diverticulum.
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