Endoscopic balloon dilatation of colonic anastomotic strictures

Abstract

Nine postoperative colonic and rectal strictures were treated using dilatation balloons passed over a guide-wire introduced endoscopically. Six strictures resolved after a single dilatation. The method is simple, safe, effective and avoids further surgery.

Colorectal Anastomotic Stenosis After Elective Laparoscopic Sigmoidectomy for Diverticular Disease: A Prospective Evaluation of 68 Patients

“…1,13,[20][21][22][23][24][25] The series reported by Suchan et al 25 included 94 consecutive patients with colorectal anastomosis stapled in 84 patients and handsewn in 10 patients. Sixty-eight patients were resected for malignant disease and 26 patients for benign conditions.…”

Stenting or stoma creation for patients with inoperable malignant colonic obstructions? Results of a study and cost-effectiveness analysis

“…However, several endoscopic alternatives to colostomy that do not involve surgery have been described for these cases, including bougienage, scope or balloon dilation, electrocoagulation, photodynamic therapy, laser photocoagulation, and stenting [2,14,18,[26][27][28]. Most of these methods are applicable only to distal rectal tumors, and each of them may need to be repeated to maintain luminal patency.…”

Endoscopic treatment of postoperative colorectal anastomotic strictures

“…Endoscopically, an anastomotic stricture has been defined as the inability to pass a 12-mm-diameter sigmoidoscope through the anastomosis [4]. The majority of anastomotic strictures are amenable for intraluminal inspection and therefore potential endoscopic therapy [1].…”