Comparing two ways to treat Crohn's disease intestinal narrowing

This trial is testing two different approaches to treating intestinal narrowing (called stenosis) that occurs in Crohn's disease patients. Some participants will receive endoscopic treatment—which uses a balloon or metal stent inserted through a scope to widen the narrowed area—while others will have surgery to remove the affected section of intestine. The study wants to compare how well each approach works, how it affects quality of life, and the costs involved.

Doctors currently recommend surgery as the standard first treatment for this type of intestinal narrowing in Crohn's disease, but there are no head-to-head studies comparing it to minimally invasive endoscopic methods. Early research suggests the endoscopic treatment may be just as effective, cheaper, and cause fewer long-term problems, so this trial aims to get solid evidence comparing both approaches.