TY - JOUR
T1 - Management of colorectal anastomotic stricture with multidiameter balloon dilation
T2 - long-term results
AU - Chan, R. H.
AU - Lin, S. C.
AU - Chen, P. C.
AU - Lin, W. T.
AU - Wu, C. H.
AU - Lee, J. C.
AU - Lin, B. W.
N1 - Funding Information:
The authors would like to thank all the staff contributing to the patients’ care in National Cheng Kung University Hospital and Dwayne (https://www.enago.tw ) helped edit the English language.
Publisher Copyright:
© 2020, The Author(s).
PY - 2020/12
Y1 - 2020/12
N2 - 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.
AB - 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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U2 - 10.1007/s10151-020-02318-2
DO - 10.1007/s10151-020-02318-2
M3 - Article
C2 - 32757156
AN - SCOPUS:85088956808
VL - 24
SP - 1271
EP - 1276
JO - Techniques in Coloproctology
JF - Techniques in Coloproctology
SN - 1123-6337
IS - 12
ER -