Through the endoscope balloon dilation of ileocolonic strictures: prognostic factors, complications, and effectiveness

Hoffmann, Jörg; Heller, Frank; Faiss, Siegbert; Lampe, B; Kroesen, A. J.; Wahnschaffe, Ulrich; Schulzke, Jörg–Dieter; Zeitz, Martin; Bojarski, Christian

doi:10.1007/s00384-008-0461-9

Cited by 69 publications

(46 citation statements)

References 31 publications

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“…17 Small-bowel strictures that are long (O5 cm), severely inflamed, and ulcerated should therefore be considered high risk and a potential contraindication to DBE-assisted balloon dilation. 28,29 However, our series also shows that a history of surgery is not a contraindication to DBE: 10 of our patients had undergone previous surgery (often multiple), but the procedure was straightforward in most of them (via both the oral and rectal routes).…”

Section: Discussionmentioning

confidence: 90%

Effective dilation of small-bowel strictures by double-balloon enteroscopy in patients with symptomatic Crohn's disease (with video)

Despott

Gupta²,

Burling³

et al. 2009

Gastrointestinal Endoscopy

115

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Section: Discussionmentioning

confidence: 90%

Effective dilation of small-bowel strictures by double-balloon enteroscopy in patients with symptomatic Crohn's disease (with video)

Despott

Gupta²,

Burling³

et al. 2009

Gastrointestinal Endoscopy

115

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“…[22,23] In these patients, 2 or 3 small radial electroincisions are performed under endoscopic view and balloon dilation is performed for 15 to 20 minutes. [24] The pressure created by the balloon dilation radiates outwardly. As a result, the force of dilatation is exerted solely on the stricture site and the risk of tearing seen with rigid bougies is reduced to a minimum.…”

Section: Discussionmentioning

confidence: 99%

Right and Wrong Approaches To Colorectal Anastomotic Strictures: When? Which Technique?

Kaya¹,

Altuntas²,

Altin³

et al. 2018

South Clin Ist Euras

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Objective: The aim of this study was to examine and describe the efficiency of endoscopic balloon and bougie dilatation techniques applied to anastomotic strictures developed in patients who underwent a low anterior resection (LAR) and ileostomy.Methods: A total of 167 patients underwent an LAR with an ileostomy due to rectal cancer between July 2014 and December 2017. Nineteen (%11.4) cases with anastomosis stricture were retrospectively evaluated and included in the study. Patients were classified according to the dilation time. Group 1 patients received dilatation within the first 3 months postoperatively, and Group 2 patients received dilatation after 3 months. Demographic data, the dilatation technique, the number of dilatation applications, the level of the stricture, the success rate, and the stoma closure time were evaluated. Results:In Group 1, the mean number of dilatation procedures was 1.8 (range: 1-3), whereas in Group 2, the mean was 3.8 (range: 2-5). The success rate was 100% in Group 1 and 66.6% in Group 2. There was a statistically significant difference between the groups in the requirement for dilatation and the success rate (p=0.022, p=0.028, respectively). Conclusion:It was concluded that dilatation techniques are most successful when applied within 3 months after surgery in cases with stenotic anastomoses. The risk of strictures and the number of repeated dilatations was lower and the success rate was significantly higher in these cases.

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“…Bazı vakalarda bunlarla kombine ya da ayrı olarak ND-YAG Lazer, ya da endoskopik retrograt kolanjiopankreatografi (ERCP) prekut iğnesi ile insizyon dilatasyonun başarısını arttırabilir ve böylelikle perforasyon riskini azaltabilir [16,17]. Bu hastalarda anastomoza endoskopik bakı altında iki-üç adet küçük radyal elektroinsizyon yapılarak 15-20 dakikalık balon dilatasyonu uygulanır [18]. Balon dilatasyonunda güç hem çevresel hem de radyal olarak etki eder.…”

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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Through the endoscope balloon dilation of ileocolonic strictures: prognostic factors, complications, and effectiveness

Abstract: Through the endoscope balloon stricture dilatation is a relatively safe and often effective treatment modality in ileocolonic strictures. The presence of ulcers in the stricture have a worse outcome as do smokers.

Cited by 69 publications

References 31 publications

Effective dilation of small-bowel strictures by double-balloon enteroscopy in patients with symptomatic Crohn's disease (with video)

Effective dilation of small-bowel strictures by double-balloon enteroscopy in patients with symptomatic Crohn's disease (with video)

Right and Wrong Approaches To Colorectal Anastomotic Strictures: When? Which Technique?

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

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