Successful interventional dilatation of a complicated stricture of the anastomotic colon: report of a case.
Colonic anastomotic strictures are usually secondary to ischemia, leakage, inflammation, or hemorrhage at the anastomotic line. Several techniques for stricture dilation including endoscopic and radiologic dilation have been reported to avoid surgery. However, if colonic strictures are more than 1 cm long and the diameter is <5 mm, surgery is usually necessary. We describe the combined use of bougie, stent, and endoscopic techniques in successful dilation of a complicated anastomotic stricture of the colon, with a length of 5 cm with angulation and a diameter of <5 mm.
Hirono
Seiko
S
Second Department of Surgery, Wakayama Medical University, School of Medicine, Wakayama, Japan.
Ueno
Masaki
M
Takifuji
Katsunari
K
Onishi
Hironobu
H
Tani
Masaji
M
Uchiyama
Kazuhisa
K
Yamaue
Hiroki
H
D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000009:adverse effects; D003082:Colectomy / Q000009:adverse effects*; D003106:Colon / Q000601:surgery*; D003113:Colonoscopy; D003251:Constriction, Pathologic / Q000209:etiology / Q000628:therapy; D004106:Dilatation; D005260:Female; D006801:Humans; D012811:Sigmoid Neoplasms / Q000601:surgery*; D015607:Stents