Benign anastomotic strictures after oncologic rectal cancer surgery. Results of treatment with hydrostatic dilation

Placer, Carlos; Urdapilleta, Gregorio; Markinez, Izaskun; Mugika, Fernando; Múgica, José Andrés; Elósegui, José Luis; Murgoitio, Javier; Irazusta, Martín; Enríquez-Navascués, José María

doi:10.1016/s2173-5077(10)70054-5

Cited by 7 publications

(14 citation statements)

References 18 publications

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“…this considerable variation is attributed in part to the lack of a standard definition and of diagnostic parameters characterizing anastomotic leakage. 6 large, postoperative anastomotic bleeding is a rare complication of colorectal surgery, with an incidence rate ranging from 0.5% to 3.0%, and usually resolves itself spontaneously. 5 another anastomotic complication is colorectal anastomosis stricture, which ranges from 3% to 30%, but its management is usually straightforward because of the use of endoscopic dilation.…”

mentioning

confidence: 99%

Preventing Complications in Colorectal Anastomosis

Placer

Enríquez-Navascués

Elorza

et al. 2014

Diseases of the Colon &Amp; Rectum

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mentioning

confidence: 99%

Preventing Complications in Colorectal Anastomosis

Placer

Enríquez-Navascués

Elorza

et al. 2014

Diseases of the Colon &Amp; Rectum

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“…A total of 12 articles were identified from the literature search [3][4][5][6][7][8][9][10][11][12][13][14][15][16]. In addition, unpublished series from our institution were also included.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 9 patients whose dilatation failed, 6 had a defunctioning stoma and 3 went to have revision of anastomosis. Placer et al [16] described success in 88.5% (23/26) with a follow-up of 39 months (range 23-49 months). The 3 patients who had unsuccessful dilatation went on to have operative intervention and reanastomoses.…”

Section: Methodsmentioning

confidence: 97%

Balloon Dilatation of Benign Rectal Anastomotic Strictures A Review

et al. 2012

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Background: The occurrence of anastomotic stricture at the level of the rectum gives rise to three broad therapeutic options, namely major pelvic and abdominal revisional surgery, faecal diversion (stoma), or local revision by transanal approaches (including endoscopic and fluoroscopic). This article updates the current evidence and focuses on the results of the balloon dilatation technique. Methods: A Medline search was carried out using the search terms (dilatation OR dilatation) AND (stricture OR strictures OR stenosis OR stenotic) AND (rectum OR rectal). In an effort to lessen publication bias, articles included at least 10 patients who were consecutively referred for treatment. Results/Conclusion: This review would suggest that probably relatively short strictures have been chosen for balloon dilatation and that the results have had a very low major morbidity (0.45%) and mortality (0%) rate.

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“…'nın çalışmasında hastaların %22'si, Placer ve ark. 'nın çalışmasında ise %42'si asemptomatik olarak bildirilmiştir [12,3]. Anastomoz hattında oluşan lokal nüksler ile benign darlıkların ayrımında endoskopik ultrasonografi kullanılabilir ancak bizim kliniğimizde mevcut olmadığından bu tetkik yapılamamıştır.…”

Section: Discussionunclassified

Laparoskopik low anterior rezeksiyon sonrası oluşan anastomoz darlığında balon dilatasyon uygulaması: İki olgu sunumu

Yılmaz¹,

Bal²,

Özkeçeci³

et al. 2015

Marmara Medical Journal

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ÖZETBenign anastomoz darlıkları kolorektal cerrahi sonrası ortaya çıkabilen geç komplikasyonlardandır. Tedavide her ne kadar endoskopik girişimler önerilmekteyse de balon dilatasyonu düşünülmesi gereken ilk seçenektir. Laparoskopi yardımlı low anterior rezeksiyon ve stapler anastomoz yapılan iki hastamızdan birinde postoperatif 6. ayında diğerinde ise 9. ayında ileri derecede anastomoz striktürü tespit edildi. Hastalardan biri ishal-kabızlık atakları, rektal kanama gibi yakınmalarla başvururken diğer hasta tamamen asemptomatikti ve anastomoz darlığı kontrol kolonoskopisinde saptandı. Her iki hastaya da akalazya tedavisinde kullanılan "ower-the-wire" balonu ile iki seans endoskopik dilatasyon uygulandı.Anahtar kelimeler: Anastomoz darlığı, Balon dilatasyon, Low anterior rezeksiyon ABSTRACTBenign anastomotic strictures develop in the late period after colorectal surgery. Although many endoscopic interventions are recommended in the treatment, the first option is balloon dilatation. We report two patients with colorectal tumors. We performed laparoscopy-assisted low anterior resection and stapler anastomosis. On the sixth and ninth postoperative months anastomotic strictures occurred. One of the patients was symptomatic with diarrheaconstipation episodes and rectal bleeding but the other patient was asymptomatic and anastomotic stricture was revealed in control colonoscopy. The patients underwent over-the-wire balloon dilatation which is used in the treatment of achalasia. Both patients had two sessions of endoscopic dilatation.

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Benign anastomotic strictures after oncologic rectal cancer surgery. Results of treatment with hydrostatic dilation

Cited by 7 publications

References 18 publications

Preventing Complications in Colorectal Anastomosis

Preventing Complications in Colorectal Anastomosis

Balloon Dilatation of Benign Rectal Anastomotic Strictures A Review

Laparoskopik low anterior rezeksiyon sonrası oluşan anastomoz darlığında balon dilatasyon uygulaması: İki olgu sunumu

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Benign anastomotic strictures after oncologic rectal cancer surgery. Results of treatment with hydrostatic dilation

Cited by 7 publications

References 18 publications

Preventing Complications in Colorectal Anastomosis

Preventing Complications in Colorectal Anastomosis

Balloon Dilatation of Benign Rectal Anastomotic Strictures  A Review

Laparoskopik low anterior rezeksiyon sonrası oluşan anastomoz darlığında balon dilatasyon uygulaması: İki olgu sunumu

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Balloon Dilatation of Benign Rectal Anastomotic Strictures A Review