Restorative proctocolectomy with ileal pouch-anal anastomosis is the surgical treatment of choice for patients with medically refractory UC or UC with dysplasia. A well-known complication of surgery is the stricture of the pouch outlet (pouch-anal anastomosis) or pouch inlet (the junction of neoterminal ileum and pouch). Both can benefit from endoscopic balloon dilatation associated with topical injection of long-acting steroids. This procedure appears safe and effective in treating pouch outlet and inlet anastomosis and can avoid or delay surgery .
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