This gem on the ESPGHAN string of pearls interviews Dr Oren Ledder, who is at once an Ozzie and an Izzie – an Australian who migrated to Israel, where he now directs the paediatric endoscopy service at Shaare Zedek Medical Center in Jerusalem.  He today speaks on small-bowel stricture in inflammatory bowel disease, a focussed chat dealing with three questions in particular :  

1.   Which patients should be considered for endoscopic balloon dilatation of a Crohn's-disease stricture ?

2.   Who should perform the procedure ?

3.   Can dilatation of a stricture change the dynamics of regional inflammation ?

The last consideration is particularly interesting, I think . . .  but you, dear listeners, must be the judges of that.

Literature : 

Ledden O et al.  Approach to endoscopic balloon dilatation in pediatric stricturing Crohn disease:  A position paper of the endoscopy special interest group of ESPGHAN.  J Pediatr Gastroenterol Nutr 2023 Jun 1 76(6):799-806.  doi: 10.1097/MPG.0000000000003752.  Epub 2023 Mar 2.PMID: 36867853.

Dr. Ledders´s favourite song: 

https://open.spotify.com/track/7vmLO9qosfXIL9y4FTm588?si=775decc5a2d64fee

ESPGHAN favourite Songs can be found on Spotify https://open.spotify.com/playlist/0YIHKjxITLEm9XNyHyypTo