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Techniques in Coloproctology

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Open Access 01-12-2020 | Enterostomy | Original Article

Management of colorectal anastomotic stricture with multidiameter balloon dilation: long-term results

Authors: R.-H. Chan, S.-C. Lin, P.-C. Chen, W.-T. Lin, C.-H. Wu, J.-C. Lee, B.-W. Lin

Published in: Techniques in Coloproctology | Issue 12/2020

Abstract

Background

Postoperative colorectal anastomotic strictures are quite common. As such, many techniques have been available to address such a problem, one of which is endoscopic dilation. The aim of the present study was to evaluate the long-term outcomes following endoscopic dilation using a multidiameter balloon.

Methods

A retrospective study was conducted on patients with postoperative anastomotic stenosis treated with endoscopic dilation using a multidiameter balloon at our institution, in January 2005–December 2019 were retrospectively reviewed, excluding those with tumor recurrence. Perioperative factors, complications, and recurrence rates were analyzed.

Results

There were 40 patients, (22 males and 18 females, mean age 64.6 ± 10.7 years, range 33–84 years). The median follow-up period was 56 months (interquartile range 22.5–99 months). Only 1 complication occurred, micro-perforation due to guided wire injury, which was managed conservatively. Five (12.5%) patients developed restenosis and underwent repeat balloon dilation. None of the five recurrences required more aggressive management, such as redo anastomosis.

Conclusions

Endoscopic multidiameter balloon dilation is a safe and effective method for treating benign colorectal anastomotic strictures.

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Title: Management of colorectal anastomotic stricture with multidiameter balloon dilation: long-term results
Authors: R.-H. Chan
S.-C. Lin
P.-C. Chen
W.-T. Lin
C.-H. Wu
J.-C. Lee
B.-W. Lin
Publication date: 01-12-2020
Publisher: Springer International Publishing
Keywords: Enterostomy
Enterostomy
Colonoscopy
Published in: Techniques in Coloproctology / Issue 12/2020
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI: https://doi.org/10.1007/s10151-020-02318-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Management of colorectal anastomotic stricture with multidiameter balloon dilation: long-term results

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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