'Above and below' dilatation of anastomotic colorectal strictures.
A new technique is described for dilating anastomotic colorectal strictures lying distal to a protecting stoma where attempts at instrumentation from below have failed. The new manoeuvre consists of approaching the stricture simultaneously from above, using a fibrescope inserted through the stoma, and from below using a rigid sigmoidoscope. A guidewire is passed from above through the stricture and retrieved by the lower operator. Dilators can then be railroaded through it. Six successful cases are reported.
Kelly
M J
MJ
Leicester General Hospital.
D000368:Aged; D000714:Anastomosis, Surgical; D003108:Colonic Diseases / Q000601:surgery*; D003125:Colostomy; D004106:Dilatation / Q000379:methods; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012002:Rectal Diseases / Q000601:surgery*