Abstract: Crohn’s disease（CD）can occur in the whole digestive tract，and stricture and fistula formation are common complications of CD. In recent years，the endoscopic therapy for CD has been increasing，and endoscopic balloon dilation and stricturotomy have become effective treatment options for CD-associated strictures，and endoscopic therapy is also incr-easingly used in CD-associated fistula，which can effectively delay or avoid surgical intervention. The article introduces endoscopic strategy for CD with stricture and fistula.

Key words: Crohn’s disease, stricture, fistula, endoscopic therapy

摘要： 克罗恩病（Crohn’s disease，CD）可累及全消化道，肠狭窄及瘘管形成是其常见的并发症。近年来CD的内镜下治疗术式日益涌现，内镜下球囊扩张术和狭窄切开术已成为CD相关狭窄的有效治疗方法，内镜治疗也越来越多地用于CD相关瘘管，可有效延迟或避免外科手术治疗。该文从内镜下治疗CD合并狭窄及瘘管等方面进行介绍。

关键词: 克罗恩病, 狭窄, 瘘管, 内镜下治疗