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RecruitingNCT07833332Updated Sep 22, 2026

Endoscopic Stricturotomy Versus Balloon Dilation for Small Bowel Fibrotic Strictures in Crohn's Disease

An interventional study of Endoscopic Stricturotomy and Endoscopic Balloon Dilation in Crohn Disease (CD), Intestinal Stricture and Intestinal Fibrosis, sponsored by Sixth Affiliated Hospital, Sun Yat-sen University. Recruiting at 1 site in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-09-22.

Sponsored by Sixth Affiliated Hospital, Sun Yat-sen University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years 6 months after the study started (first participant enrolled Feb 2024, registered Sep 2026).
  • Started Feb 2024; still recruiting 2 years 8 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
244
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 34 studies in Crohn Disease by Sixth Affiliated Hospital, Sun Yat-sen University — 14 open to participants now, 14 under way, none of them phase 3. Crohn Disease · Sixth Affiliated Hospital, Sun Yat-sen University.

Planned enrollment
3rd of 20
244 · median 150
Started
2024
with 2 others
No phase
10 of 34
5 open now
Primary completion
2027-12
later than 8 of 13 live
Registered
34th of 34
by date

Among the 34 studies in Crohn Disease by Sixth Affiliated Hospital, Sun Yat-sen University, this one is the 3rd largest by planned enrollment of the 20 interventional ones that give a count, is one of 3 that started in 2024, is one of 10 with no phase, reaches primary completion later than 8 of the 13 other live ones, and was the 34th registered.

Crohn Disease

1,992 studies on the registry are indexed under Crohn Disease; 478 are open to participants now.

Browse Crohn Disease studies →

Open to participants now

14 of the 34 studies in Crohn Disease by Sixth Affiliated Hospital, Sun Yat-sen University are open now, in 1 country. Recruiting first, the newest first:

8 more — sign in →

By country, each count listing its studies:

All 14 open studies →

Where they have run

Who these studies take

Of the 354 Crohn Disease studies recruiting now, 155 (44%) set no upper age limit and 144 (41%) stop at 75 or younger; 96 take children under 18; 56 take healthy volunteers.

This study: 18 Years to 70 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 34 studies in Crohn Disease by Sixth Affiliated Hospital, Sun Yat-sen University, or all of them as a file.
02

Study summary

This multicenter, open-label, randomized controlled trial aims to compare the safety and immediate effectiveness of endoscopic stricturotomy (ES) and endoscopic balloon dilation (EBD) for the treatment of small bowel fibrotic strictures in patients with Crohn's disease.

Eligible participants with Crohn's disease and small bowel fibrotic strictures will be randomly assigned to receive either endoscopic stricturotomy or endoscopic balloon dilation. The study will compare procedure-related bleeding or perforation between the two treatment groups and will also evaluate immediate technical success, defined by whether the enteroscope can pass through the treated stricture after the procedure.

The study is intended to provide clinical evidence on the safety and feasibility of endoscopic stricturotomy as an endoscopic treatment option for small bowel fibrotic strictures in Crohn's disease.

Read the detailed description

Fibrotic intestinal strictures are an important complication of Crohn's disease. Medical therapy can effectively control intestinal inflammation, but established fibrotic strictures may respond poorly to medical treatment and may require endoscopic or surgical intervention. Endoscopic balloon dilation is commonly used for selected Crohn's disease-related strictures, but limitations include recurrence and the potential need for repeated procedures or surgery. Endoscopic stricturotomy is an alternative endoscopic approach that directly incises the fibrotic stricture and may provide another treatment option for patients with Crohn's disease-related small bowel strictures.

This study is a multicenter, open-label, randomized, parallel-group controlled trial comparing endoscopic stricturotomy with endoscopic balloon dilation in patients with Crohn's disease and small bowel fibrotic strictures. Participants who meet the eligibility criteria will be randomly allocated to one of the two endoscopic treatment groups.

In the endoscopic stricturotomy group, the fibrotic stricture will be incised endoscopically until adequate luminal enlargement is achieved. In the endoscopic balloon dilation group, the stricture will be dilated endoscopically using a dilation balloon. After treatment, the treated stricture will be reassessed endoscopically.

The study primarily aims to compare the safety of the two endoscopic approaches and secondarily to compare their immediate technical effectiveness.

03

Conditions studied

  • Crohn Disease (CD)
  • Intestinal Stricture
  • Intestinal Fibrosis

Browse trials for

Keywords

  • Endoscopic Stricturotomy
  • Endoscopic Balloon Dilation
  • Small Bowel Stricture
  • Fibrotic Stricture
  • Balloon-Assisted Enteroscopy
04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age 18 to 70 years.
  • Diagnosis of Crohn's disease for at least 3 months before screening, based on clinical manifestations and endoscopic and/or imaging findings, with histopathological support.
  • Presence of a small bowel stricture that prevents passage of the enteroscope.
  • Partial intestinal obstruction, meeting the following criteria:

    1. Clinical manifestations of partial intestinal obstruction;
    2. Small bowel stricture identified by endoscopy (with a lumen narrower than the distal end of the enteroscope) or computed tomography enterography (CTE); and
    3. Marked dilation of the bowel lumen proximal to the stricture demonstrated by enteroscopy or CTE.
  • Written and any required privacy authorization signed and dated by the participant or the participant's legally authorized representative, as applicable, before initiation of study procedures.
  • Female participants of who are sexually active with a non-sterilized male partner must agree to use adequate conventional throughout the study period, beginning at the time of signing the informed consent form.

Exclusion criteria

Exclusion Criteria:

  • Anastomotic stricture.
  • Deep or large ulceration at the stricture site.
  • Marked angulation or sharp bending at the stricture site.
  • An absolute indication for surgical treatment, including acute perforation, major bleeding that cannot be managed medically or endoscopically, intra-abdominal abscess, small bowel fistula, or .
  • Inability to tolerate anesthesia, enteroscopy, or surgical treatment because of conditions such as cardiac or pulmonary failure or severe coagulation disorders.
  • Evidence of active infection during the screening period.
  • Active tuberculosis, including findings suspicious for pulmonary tuberculosis on chest radiography performed within 3 months before Week 0.
  • Any confirmed congenital or acquired immunodeficiency, including (HIV) infection or organ transplantation.
  • A infection, such as pneumonia or pyelonephritis, within 30 days before screening, or an ongoing chronic infection.
  • Any unstable or uncontrolled cardiovascular, pulmonary, hepatic, renal, gastrointestinal, genitourinary, hematologic, coagulation, immune, endocrine/metabolic, or other medical condition that, in the investigator's opinion, could interfere with study results or compromise participant safety.
  • History of malignancy.
  • Any of the following laboratory abnormalities during screening:

    1. \<5 g/dL;
    2. White blood cell count \<3 × 10\^9/L;
    3. count \<100 × 10\^9/L or >1200 × 10\^9/L;
    4. (ALT) or aspartate aminotransferase (AST) >3 times the (ULN); or
    5. Serum creatinine >2 times the ULN.
  • Inability to attend all required study visits or comply with study procedures.
  • Female participants who are pregnant, plan to become pregnant before or during study participation, or plan to donate ova during this period.
  • Participants who are coerced into consenting to study participation.
  • Any other condition that, in the investigator's opinion, makes the participant unsuitable for endoscopic or surgical treatment.
Terms in these criteria, in plain language(10)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
244 participants (estimated)

Study arms

  • Experimental
    Endoscopic Stricturotomy

    Participants assigned to this arm will undergo endoscopic stricturotomy for Crohn's disease-related small bowel fibrotic strictures. The stricture will be incised endoscopically until adequate luminal enlargement is achieved, followed by endoscopic reassessment of the treated stricture.

    Procedure: Endoscopic Stricturotomy

  • Active comparator
    Endoscopic Balloon Dilation

    Participants assigned to this arm will undergo endoscopic balloon dilation for Crohn's disease-related small bowel fibrotic strictures. The stricture will be dilated endoscopically using a dilation balloon, followed by endoscopic reassessment of the treated stricture.

    Procedure: Endoscopic Balloon Dilation

Interventions

  • ProcedureEndoscopic Stricturotomy

    Endoscopic stricturotomy is performed for the small bowel fibrotic stricture using an endoscopic incision knife. The stricture is incised in a partial or circumferential manner until adequate luminal enlargement is achieved. Hemostasis is performed if necessary, and the treated stricture is reassessed endoscopically after the procedure.

    Also known as: ES

  • ProcedureEndoscopic Balloon Dilation

    Endoscopic balloon dilation is performed for the small bowel fibrotic stricture using a dilation balloon introduced over a guidewire. The stricture is dilated endoscopically and reassessed after the procedure to determine whether the enteroscope can pass through the treated stricture.

06

What researchers measure

Primary outcomes

  1. Percentage of Treated Small Bowel Strictures With Procedure-Related Bleeding or Perforation

    The primary outcome is the percentage of treated small bowel strictures with procedure-related bleeding or perforation after endoscopic stricturotomy or endoscopic balloon dilation. The percentage will be calculated as the number of treated strictures with bleeding or perforation divided by the total number of treated strictures, multiplied by 100.

    Time frame: During and immediately after the endoscopic procedure

Secondary outcomes

  1. Percentage of Treated Small Bowel Strictures With Technical Success

    Technical success is defined as successful passage of the enteroscope through the treated small bowel stricture after endoscopic stricturotomy or endoscopic balloon dilation. The percentage will be calculated as the number of treated strictures through which the enteroscope can successfully pass divided by the total number of treated strictures, multiplied by 100.

    Time frame: Immediately after the endoscopic procedure

Other outcomes

  1. Crohn's Disease Obstructive Score (CDOS)

    The Crohn's Disease Obstructive Score (CDOS) is used to assess the severity of obstructive symptoms in patients with Crohn's disease. The score includes six components related to obstructive abdominal pain, nausea or vomiting, dietary restriction, and hospitalization. The total score ranges from 0 to 6, with higher scores indicating more severe obstructive symptoms.

    Time frame: 1 year

  2. Crohn's Disease Activity Index (CDAI)

    The Crohn's Disease Activity Index (CDAI) is used to assess Crohn's disease activity based on eight clinical variables. A CDAI score below 150 indicates clinical remission; scores of 150-220, 221-450, and above 450 indicate mild, moderate, and severe disease activity, respectively.

    Time frame: 1 year

  3. Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score

    The Inflammatory Bowel Disease Questionnaire (IBDQ) is a 32-item disease-specific questionnaire used to assess health-related quality of life. The total score ranges from 32 to 224, with higher scores indicating better health-related quality of life.

    Time frame: 1 year

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Feb 2024 (actual). Primary completion is estimated for Dec 2027, 46 months after the start.

Of 287 non-industry interventional studies with no phase under Crohn Disease, half reached primary completion within 46 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 67. This study's planned 46 months is close to that.

Counting every sponsor, half of 299 studies reached it within 45 months; a quarter within 21 and three quarters within 65.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 15, 2026
First posted
Sep 22, 2026
StartActual
Feb 18, 2024
Primary completionEst.
Dec 2027
CompletionEst.
Dec 2027
Last update
Sep 22, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07833332
Responsible party
Sponsor
First posted
Sep 22, 2026
Start date
Feb 18, 2024
Primary completion
Dec 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
Sep 22, 2026

Study contacts

Qin Guo, MD
Contact
guoq83@mail.sysu.edu.cn
+86-13507406889

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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