Endoscopic Balloon Dilatation of NSAID-Induced Sigmoid Diaphragm-Stricture

Abstract

A less common but increasingly recognized complication of
NSAIDs use is thin mucosal "diaphragm-like" strictures that
were initially reported in the small intestine and have been
reported with increased incidence in the colon. A patient with
osteoarthritis, chronic low back pain, and overuse of different
types of NSAIDs suppositories developed "diaphragm"
like stricture in the sigmoid colon. She underwent successful
through the scope balloon dilatation of the stricture. We report
this case to demonstrate an endoscopic alternative therapeutic
approach to "diaphragm-like" strictures and as a reminder
that this diagnosis should be suspected in patients on
long-term NSAIDs therapy.
Key words: Non-steroidal anti-inflammatory drugs (NSAIDs),
"diaphragm"-like colonic stricture, balloon dilatation.