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Journals / Yeni Tıp Dergisi / 2014 / Cilt: 31 - Sayı: 2

The balloon dilatation of anastomotic stricture following laparoscopic low anterior resection

Laparoskopik low anterior rezeksiyon sonrası oluşan anastomoz darlığında balon dilatasyonu

SEZGİN YILMAZ
Ahmet BAL
Taner ÖZKEÇECİ
Bahadır CELEP
MUSTAFA ÖZSOY
Nazan OKUR
Çiğdem TOKYOL
Yüksel ARIKAN
Pages
139–141
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Dilatation was successfully completed by using achalasia dilatation balloon after two sessions dilatation.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Benign strictures at the colorectal anastomosis occur with a frequency of 5.8% to 20%.
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Key Findings & Data:Surgery is reserved for the patients unresponsive to endoscopic modalities and complications of them, however, it carries significant mortality and morbidity rates.
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Conclusion & Impact:Dilatation was successfully completed by using achalasia dilatation balloon after two sessions dilatation.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Benign strictures at the colorectal anastomosis occur with a frequency of 5.8% to 20%. Although several endoscopic interventions are recommended for the treatment, balloon dilatation is the first choice to be considered. Surgery is reserved for the patients unresponsive to endoscopic modalities and complications of them, however, it carries significant mortality and morbidity rates. A 52-years old female patient presented with a severe anastomotic stricture 6 months after the laparoscopy assited low anterior resection and stapled anastomosis. Dilatation was successfully completed by using achalasia dilatation balloon after two sessions dilatation.

Özet

Kolorektal anastomozlarda %5,8 ile %20 oranında benign striktür görülür. Her ne kadar tedavide pek çok endoskopik girişim önerilmekteyse de, balon dilatasyonu düşünülmesi gereken ilk seçenektir. Cerrahi, endoskopik yaklaşımlara yanıtsız olgularda ya da komplikasyonlarda düşünülmekle birlikte önemli mortalite ve morbidite oranlarına sahiptir. 52 yaşında bayan hasta laparoskopi yardımlı low anterior rezeksiyon ve stapler anastomoz sonrası 6. ayda ciddi anastomoz darlığı nedeniyle başvurdu. Akalazya balonu kullanılarak yapılan iki seans endoskopik dilatasyonla anastomoz dilatasyonu başarıyla tamamlandı.

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Cite This Article

YILMAZ, S., BAL, A., ÖZKEÇECİ, T., CELEP, B., ÖZSOY, M., OKUR, N., TOKYOL, Ç., ARIKAN, Y. (2014). The balloon dilatation of anastomotic stricture following laparoscopic low anterior resection. Yeni Tıp Dergisi, Cilt: 31 - Sayı: 2, 139–141. https://ajindex.com/articles/338406

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References (12)

  1. Tuson JR, Everett WG. A retrospective study of colostomies, leaks and strictures after colorectal anastomosis. Int J Colorectal Dis 1990;5:44-8
  2. Chung RS, Hitch DC, Armstrong DN. The role of tissue ischemia in the pathogenesis of anastomotic stricture. Surgery 1988;104:824-9
  3. Polglase AL, Hughes ES, McDermott FT, Pihl E, Burke FR. A comparison of end-to-end staple and suture colorectal anastomosis in the dog. Surg Gynecol Obstet 1981;152:792-6
  4. Di Giorgio P, De Luca L, Rivellini G, Sorrentino E, D'amore E, De Luca B. Endoscopic dilation of benign colorectal anastomotic stricture after low anterior resection: A prospective comparison study of two balloon types. Gastrointest Endosc 2004;60:347-50
  5. Yaman İ, Derici H. Kolon benign anastomoz darlığında endoskopik balon dilatasyon. Kolon Rektum Hast Derg 2010;20:134-38
  6. Werre A, Mulder C, van Heteren C, Bilgen ES. Dilation of benign strictures following low anterior resection using Savary-Gilliard bougies. Endoscopy 2000;32:385-8
  7. Solt J, Hertelendi A, Szilágyi K. Balloon catheter dilatation of lower gastrointestinal tract stenoses: long-term results. Orv Hetil 2002;143: 1835-40
  8. Delaunay K, Barthelemy C, Dumas O, et al. Endoskopic therapy of benign colonic postoperative strictures: report on 27 cases. Gastroenterol Clin Biol 2003;27:610-3
  9. Dieruf LM, Prakash C. Endoscopic incision of a postoperative colonic stricture. Gastrointest Endosc 2001;53:522-4
  10. Truong S, Willis S, Schumpelick V. Endoscopic therapy of benign anastomotic strictures of the colorectum by electroincision and balloon dilatation. Endoscopy 1997;29:845-9
  11. Hoffmann JC, Heller F, Faiss S, et al. Through the endoscope balloon dilation of ileocolonic strictures: prognostic factors, complications, and effectiveness. Int J Colorectal Dis 2008;23:689-96
  12. Virgilio C, Cosentino S, Favara C, Russo V, Russo A. Endoscopic treatment of postoperative colonic strictures using an achalasia dilator: short-term and long-term results. Endoscopy 1995;27:219-22.