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DOI: 10.1055/s-2005-870221
Endoscopically Controlled Strictureplasty for Stenotic Colorectal Anastomosis
Publication History
Submitted 11 November 2004
Accepted after Revision 17 January 2005
Publication Date:
22 August 2005 (online)
Various different techniques have been described for the treatment of benign colorectal anastomotic strictures. Some strictures are resistant to standard dilation therapy. A quick and effective technique is described here for the treatment of colorectal strictures. It consists of cutting the stricture using a flexible stapler system. This is performed under endoscopic guidance and control using a colonoscope inserted alongside the stapler. The patient treated as described here experienced good functional and anatomical results.
References
- 1 Chung R S, Hitch D C, Armstrong D N. The role of tissue ischemia in the pathogenesis of anastomotic stricture. Surgery. 1988; 104 824-829
- 2 Kissin M W, Cox A G, Wilkins R A, Kark A E. The fate of the EEA stapled anastomosis: a clinicoradiological study of 38 patients. Ann R Coll Surg Engl. 1985; 67 20-22
- 3 Mac Rae H M, McLeod R S. Handsewn vs. stapled anastomoses in colon and rectal surgery. Dis Colon Rectum. 1998; 41 180-189
- 4 Suchan K L, Muldner A, Manegold B C. Endsocopic treatment of postoperative colorectal anastomotic strictures. Surg Endosc. 2003; 17 1110-1113
- 5 Truong S, Willis S, Schumpelick V. Endoscopic therapy of benign anastomotic strictures of the colorectum by electroincision and balloon dilatation. Endsocopy. 1997; 29 845-849
- 6 Ovnat A, Peiser J, Avinoah E, Charuzi I. A new approach to rectal anastomotic stricture. Dis Colon Rectum. 1989; 32 351-353
- 7 Chew S, King D. Use of endoscopic titanium stapler in rectal anastomotic stricture. Dis Colon Rectum. 2002; 45 283-285
- 8 Rees J RE, Carney L, Gill T S, Dixon A R. Management of recurrent anastomotic stricture and iatrogenic stenosis by circular stapler. Dis Colon Rectum. 2004; 47 944-947
- 9 Nakada I, Kawasaki S, Sonoda Y. et al . Abdominal stapled side-to-end anastomosis (Baker type) in low and high anterior resection: experiences and results in 69 consecutive patients at a regional general hospital in Japan. Colorectal Dis. 2004; 6 165-70
K. Reinshagen, M. D.
Chirurgische Klinik · Klinikum Mannheim
Theodeor-Kutzer-Ufer 1 - 3 · 68167 Mannheim · Germany
Email: Konrad.Reinshagen@chir.ma.uni-heidelberg.de