Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Surgical Endoscopy
Published in: Surgical Endoscopy 10/2003

01-10-2003 | Original article

Endoscopic treatment of benign gastrointestinal anastomotic strictures using argon plasma coagulation in combination with diathermy

Authors: D. Schubert, R. Kuhn, H. Lippert, M. Pross

Published in: Surgical Endoscopy | Issue 10/2003

Login to get access

Abstract

Background: Initially, treatment for anastomotic strictures was surgical. Currently. however, endoscopic techniques are preferred. This study aimed to investigate the efficiency and safety of endoscopic treatment using argon plasma coagulation in combination with diathermy. Methods: From 1995 to 2000, 49 patients with postsurgical anastomotic strictures of the esophagus or colon were referred for endoscopic treatment. In all cases, radiologic and endoscopic examination showed membranous or short strictures (diameter, 3–8 mm). Under direct endoscopic control, the scar tissue at the anastomotic line was incised radially with a polypectomy snare. The scar tissue between the incisions then was reduced carefully by argon plasma coagulation. Results: All 49 patients were treated successfully with this combined endoscopic technique. Only for four patients was more than one endoscopic session (mean, 3.5; range, 2–6) needed to guarantee long-term success. No complications were encountered. Conclusions: Endoscopic argon plasma coagulation in combination with diathermy is a safe and effective technique for the treatment of short postsurgical gastrointestinal anastomotic strictures.
Literature
1.
Beitler, AL, Urschel, JD 1998Comparison of stapled and hand-sewn esophagogastric anastomoses.Am J Surg175337340CrossRefPubMed
2.
Brandimarte, G, Tursi, A, Gasbarrini, G 2000Endoscopic treatment of benign colorectal stenosis with electrocautery.Endoscopy32461463CrossRefPubMed
3.
Fiorini, A, Fleischer, D, Valero, J, Israeli, E, Wengrower, D, Goldin, E 2000Self-expandable metal coil stents in the treatment of benign esophageal strictures refractory to conventional therapy: a case series.Gastrointest Endosc52259262PubMed
4.
Franklin, ME, Kazantsev, GB, Abrego, D, Diaz-E, JA, Balli, J, Glass, JL 2000Laparoscopic surgery for stage III colon cancer: long-term follow-up.Surg Endosc14612616CrossRefPubMed
5.
Grund, KE, Zindel, C, Farin, G 1997Argon plasma coagulation through a flexible endoscope: evaluation of a new therapeutic method after 1,606 uses.Dtsch Med Wochenschr122432438PubMed
6.
Hagiwara, A, Togawa, T, Yamasaki, J, Shirasu, M, Sakakura, C, Yamagashi, H 1998Endoscopic incision and balloon dilatation for cicatricial anastomotic strictures.Hepatogastroenterology46997999
7.
Johansson, J, Zilling, T, Staël von Holstein, C, Johnsson, F, Öberg, S, Walther, B 2000Anastomotic diameters and strictures following esophagectomy and total gastrectomy in 256 patients.World J Surg247885CrossRefPubMed
8.
Loffer, A, Dienst, C, Velasco, SB 1986International survey of laser therapy in benign gastrointestinal tumors and stenoses.Endoscopy186265PubMed
9.
Luck, A, Chapuis, P, Sinclair, C, Hood, J 2001Endoscopic laser stricturotomy and balloon dilatation for benign colorectal strictures.ANZ J Surg71594597CrossRefPubMed
10.
Mohandas, KM 1995Dilatation of difficult gastrointestinal strictures using a modified wire-guided technique.Endoscopy27446448PubMed
11.
Paul, L, Pinto, I, Gomez, H, Fernandez-Lobato, R, Moyano, E 2002Metallic stent in the treatment of benign diseases of the colon: preliminary experiences in 10 cases.Radiology223715722PubMed
12.
Petrin, G, Ruol, A, Battaglia, G, Buin, F, Merigliano, S, Constantini, M, Pavei, P, Cagol, M, Scappin, S, Ancona, E 2000Anastomotic stenoses occurring after circular stapling in esophageal cancer surgery.Surg Endosc14670674CrossRefPubMed
13.
Piccinni, G, Nachiero, M 2001Management of narrower anastomotic colonic strictures: case report and proposal technique.Surg Endosc151227
14.
Reichle, G, Freitag, L, Kullmann, HJ, Prenzel, R, Macha, HN, Farin, G 2000Argon plasma coagulation in bronchology: a new method: alternative or complementary?Pneumologie54508516CrossRefPubMed
15.
Sato, M, Terada, Y, Nakagawa, T, Li, M, Wada, H 2000Successful use of argon plasma coagulation and tranilast to treat granulation tissue obstructing the airway after tracheal anastomoses.Chest11818291831CrossRefPubMed
16.
Schlegel, RD, Dehni, N, Parc, R, Caplin, S, Tiret, E 2001Results of reoperations in colorectal anastomotic strictures.Dis Colon Rectum4414641468PubMed
17.
Truong, S, Willis, S, Schumpelick, V 1997Endoscopic therapy of benign anastomotic strictures of the colorectum by electroincision and balloon dilatation.Endoscopy29845849PubMed
18.
van Laethem, JL 1999Endoscopic palliation of inoperable cancer of the esophagus by argon electrocoagulation.Gastrointest Endosc50295297PubMed
19.
Werre, A, Mulder, C, van Heteren, C, Spillenaar Bilgen, E 2000Dilation of benign strictures following low anterior resection using Savary-Gilliard bougies.Endoscopy32385388CrossRefPubMed
Metadata
Title
Endoscopic treatment of benign gastrointestinal anastomotic strictures using argon plasma coagulation in combination with diathermy
Authors
D. Schubert
R. Kuhn
H. Lippert
M. Pross
Publication date
01-10-2003
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 10/2003
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-002-9173-3

Other articles of this Issue 10/2003

Surgical Endoscopy 10/2003 Go to the issue

Case report

Pyogenic cholangitis after inadvertent submucosal contrast injection in the papilla of Vater in a patient with cholestatic hepatitis

Case report

Subcutaneous emphysema after associated colonoscopy and transanal excision of rectal adenoma

Case report

Penetrating chest gunshot wounds

Original article

Earlier appearance and higher incidence of the rectoanal relaxation reflex in patients with imperforate anus repaired with laparoscopically assisted anorectoplasty

Original article

Laparoscopic esophagogastric devascularization in bleeding varices

Original article

Accuracy of diagnostic laparoscopy for early diagnosis of abdominal complications after cardiac surgery