Management of colorectal anastomotic stricture with multidiameter balloon dilation: long-term results
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 multidia...
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| Veröffentlicht in: | Techniques in coloproctology 2020-12, Vol.24 (12), p.1271-1276 |
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| creator | Chan, R.-H. Lin, S.-C. Chen, P.-C. Lin, W.-T. Wu, C.-H. Lee, J.-C. Lin, B.-W. |
| description | 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. |
| doi_str_mv | 10.1007/s10151-020-02318-2 |
| format | Article |
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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.</description><identifier>ISSN: 1123-6337</identifier><identifier>EISSN: 1128-045X</identifier><identifier>DOI: 10.1007/s10151-020-02318-2</identifier><identifier>PMID: 32757156</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Surgery ; Adult ; Aged ; Aged, 80 and over ; Anastomosis, Surgical - adverse effects ; Colorectal Neoplasms - surgery ; Colorectal Surgery ; Constriction, Pathologic - etiology ; Constriction, Pathologic - surgery ; Dilatation ; Endoscopy ; Female ; Gastroenterology ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original ; Original Article ; Postoperative Complications - etiology ; Postoperative Complications - therapy ; Proctology ; Retrospective Studies ; Surgery ; Treatment Outcome</subject><ispartof>Techniques in coloproctology, 2020-12, Vol.24 (12), p.1271-1276</ispartof><rights>The Author(s) 2020</rights><rights>The Author(s) 2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-94e3d1fa201e2ec33c2083bee7ca772ff8ca093973e18584d3f11eb63780140a3</citedby><cites>FETCH-LOGICAL-c474t-94e3d1fa201e2ec33c2083bee7ca772ff8ca093973e18584d3f11eb63780140a3</cites><orcidid>0000-0001-7250-6412</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10151-020-02318-2$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10151-020-02318-2$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32757156$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chan, R.-H.</creatorcontrib><creatorcontrib>Lin, S.-C.</creatorcontrib><creatorcontrib>Chen, P.-C.</creatorcontrib><creatorcontrib>Lin, W.-T.</creatorcontrib><creatorcontrib>Wu, C.-H.</creatorcontrib><creatorcontrib>Lee, J.-C.</creatorcontrib><creatorcontrib>Lin, B.-W.</creatorcontrib><title>Management of colorectal anastomotic stricture with multidiameter balloon dilation: long-term results</title><title>Techniques in coloproctology</title><addtitle>Tech Coloproctol</addtitle><addtitle>Tech Coloproctol</addtitle><description>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.</description><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anastomosis, Surgical - adverse effects</subject><subject>Colorectal Neoplasms - surgery</subject><subject>Colorectal Surgery</subject><subject>Constriction, Pathologic - etiology</subject><subject>Constriction, Pathologic - surgery</subject><subject>Dilatation</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Original Article</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - therapy</subject><subject>Proctology</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><issn>1123-6337</issn><issn>1128-045X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9kUuPFSEQhYnROOPoH3BhSNy4aaUouul2YWImvpIxbjRxR7h09R0mNIxAa_z34txxfCxcEAj11ak6OYw9BPEUhNDPCgjooRNStIMwdvIWOwaQYydU__n21Ru7AVEfsXulXAgBWvdwlx2h1L2Gfjhm9N5Gu6eVYuVp4S6FlMlVG3j7LzWtqXrHS83e1S0T_-brOV-3UP3s7UqVMt_ZEFKKfPbBVp_icx5S3HettPJMpbHlPruz2FDowfV9wj69fvXx9G139uHNu9OXZ51TWtVuUoQzLFYKIEkO0Ukx4o5IO6u1XJbRWTHhpJFg7Ec14wJAuwH1KEAJiyfsxUH3ctutNLvmKttgLrNfbf5ukvXm70r052afvho9DIATNoEn1wI5fdmoVLP64igEGyltxUiFYtKTVH1DH_-DXqQtx2avUbqtNExqbJQ8UC6nUjItN8uAMD9TNIcUTUvRXKVoZGt69KeNm5ZfsTUAD0Bppbin_Hv2f2R_AFlGqmc</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Chan, R.-H.</creator><creator>Lin, S.-C.</creator><creator>Chen, P.-C.</creator><creator>Lin, W.-T.</creator><creator>Wu, C.-H.</creator><creator>Lee, J.-C.</creator><creator>Lin, B.-W.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-7250-6412</orcidid></search><sort><creationdate>20201201</creationdate><title>Management of colorectal anastomotic stricture with multidiameter balloon dilation: long-term results</title><author>Chan, R.-H. ; Lin, S.-C. ; Chen, P.-C. ; Lin, W.-T. ; Wu, C.-H. ; Lee, J.-C. ; Lin, B.-W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-94e3d1fa201e2ec33c2083bee7ca772ff8ca093973e18584d3f11eb63780140a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anastomosis, Surgical - adverse effects</topic><topic>Colorectal Neoplasms - surgery</topic><topic>Colorectal Surgery</topic><topic>Constriction, Pathologic - etiology</topic><topic>Constriction, Pathologic - surgery</topic><topic>Dilatation</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Original Article</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - therapy</topic><topic>Proctology</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chan, R.-H.</creatorcontrib><creatorcontrib>Lin, S.-C.</creatorcontrib><creatorcontrib>Chen, P.-C.</creatorcontrib><creatorcontrib>Lin, W.-T.</creatorcontrib><creatorcontrib>Wu, C.-H.</creatorcontrib><creatorcontrib>Lee, J.-C.</creatorcontrib><creatorcontrib>Lin, B.-W.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Techniques in coloproctology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chan, R.-H.</au><au>Lin, S.-C.</au><au>Chen, P.-C.</au><au>Lin, W.-T.</au><au>Wu, C.-H.</au><au>Lee, J.-C.</au><au>Lin, B.-W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Management of colorectal anastomotic stricture with multidiameter balloon dilation: long-term results</atitle><jtitle>Techniques in coloproctology</jtitle><stitle>Tech Coloproctol</stitle><addtitle>Tech Coloproctol</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>24</volume><issue>12</issue><spage>1271</spage><epage>1276</epage><pages>1271-1276</pages><issn>1123-6337</issn><eissn>1128-045X</eissn><abstract>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.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>32757156</pmid><doi>10.1007/s10151-020-02318-2</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-7250-6412</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Abdominal Surgery Adult Aged Aged, 80 and over Anastomosis, Surgical - adverse effects Colorectal Neoplasms - surgery Colorectal Surgery Constriction, Pathologic - etiology Constriction, Pathologic - surgery Dilatation Endoscopy Female Gastroenterology Humans Male Medicine Medicine & Public Health Middle Aged Original Original Article Postoperative Complications - etiology Postoperative Complications - therapy Proctology Retrospective Studies Surgery Treatment Outcome |
| title | Management of colorectal anastomotic stricture with multidiameter balloon dilation: long-term results |
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