Occluded coloanal anastomosis: transrectal US-guided balloon dilation.
Balloon dilation is a well-described, nonoperative, alternative treatment for postoperative strictures of the colon and rectum. This procedure may not be technically feasible when an occluded lumen prevents passage of a guide wire across the obstruction. The authors describe the use of transrectal ultrasound guidance to initially pass a needle across an occlusive web at the coloanal anastomosis after proctosigmoidectomy. This allowed placement of a guide wire across the occlusion and subsequent successful balloon dilation.
Eschelman
D J
DJ
Division of Cardiovascular/Interventional Radiology, Jefferson Medical College, Thomas Jefferson University Hospital, Philadelphia, PA 19107.
Alexander
A A
AA
Goldstein
S D
SD
Shapiro
M J
MJ
D001003:Anal Canal / Q000000981:diagnostic imaging / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000009:adverse effects*; D002404:Catheterization; D003106:Colon / Q000000981:diagnostic imaging / Q000601:surgery*; D003113:Colonoscopy; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D007081:Ileostomy; D008297:Male; D008875:Middle Aged; D018084:Ultrasonography, Interventional