A patient with Crohn’s Disease may develop one or more foci of bowel stricture with stenosis. The stenosis may be inflammatory or fibrostenotic.


Clinical and radiographic features of bowel stricture with stenosis – all of the following:

(1) symptoms of bowel obstruction (abdominal pain, vomiting, abdominal distention, etc)

(2) focus of persistent, localized luminal narrowing

(3) dilatation of the bowel proximal to the area of luminal narrowing


The area of luminal narrowing may be evaluated by:

(1) endoscopy

(2) small bowel enema (SBE) with enteroclysis

(3) double contrast barium enema for evaluation of the colon

(4) CT scan

(5) MRI-enteroclysis

(6) contrast enhanced Doppler ultrasound


The presence of mucosal ulceration in the involved segment correlates with disease activity.


Differential diagnosis:

(1) functional spasm


To read more or access our algorithms and calculators, please log in or register.