Endoscopic radial incision in the treatment of benign atresia and stenosis of colorectal anastomosis

ZHONG Dunjing; SONG Jian; LI Ping; CHEN Zhaowei; ZHANG Ronglin; REN Yanjun

PDF(624 KB)

Medical Journal of the Chinese People Armed Police Forces ›› 2022, Vol. 33 ›› Issue (3) : 189-191.

ORIGINAL ARTICLES

Endoscopic radial incision in the treatment of benign atresia and stenosis of colorectal anastomosis

ZHONG Dunjing¹, SONG Jian², LI Ping³, CHEN Zhaowei³, ZHANG Ronglin³, REN Yanjun⁴

Author information +

History +

Abstract

Objective To investigate the effect of endoscopic radial incision in the treatment of benign colorectal anastomotic stenosis. Methods Twenty-five patients with benign anastomotic stenosis and atresia after colorectal surgery were selected from January 2018 to December 2020. All patients were treated with endoscopic radial incision for benign colorectal anastomotic stenosis . The operation was performed by same doctors with same method. The effect, intraoperative and postoperative complications about endoscopic radial incision and the recurrence rate of anastomotic stenosis were observed. The patients were followed up to evaluate the obstruction symptoms and recurrence of anastomotic stenosis. Results Twenty-five patients(100.0%) were treated successfully. The operation time was 14-42 minutes and the average time was 18.7 minutes; the hospital stay was 3-7 days and the average time was 4 days. The preoperative diameter of anastomotic astium was 0-10 mm, the average of diameter was (6.67±2.48) mm; the postoperative diameter of ones was 14-18 mm, the average of diameter was (16.17±1.27)mm; the postoperative diameter of ones at six months after surgery was 13-15 mm, the average of diameter was (15.29±1.04) mm. There was statistically significant difference of diameter between preoperation and postoperation (P<0.05). Conclusions Endoscopic radial incision is a safe and effective method in the treatment of benign anastomotic stenosis after colorectal surgery.

Key words

colorectal anastomosis / benign stenosis / endoscopic radial incision

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

ZHONG Dunjing, SONG Jian, LI Ping, CHEN Zhaowei, ZHANG Ronglin, REN Yanjun. Endoscopic radial incision in the treatment of benign atresia and stenosis of colorectal anastomosis[J]. Medical Journal of the Chinese People Armed Police Forces. 2022, 33(3): 189-191

References

[1] 谭玉勇,唐瑶,霍继荣, 等. 内镜下切开术治疗消化道良性狭窄的研究进展[J]. 中南大学学报(医学版), 2017, 42(3): 352-356.
[2] Acar T,Aslan F,Acar N,et al.Role of endoscopic interventions and electroincision in benign anastomotic strictures following colorectalsurgery[J].Turk J Gastroenterol, 2019, 30(8): 673-679.
[3] 王玉,柳明,王贵玉.结直肠癌术后良性吻合口狭窄的成因及治疗进展[J].中华结直肠疾病电子杂志,2020,9(4):345-348.
[4] Dowden J E,Stanley J D,Moore R A.Obstructed defecation after stapled hemorrhoidopexy:a report of four cases[J]. Am Surg,2010,76(6):622-625.
[5] Lan N,Shen B.Endoscopic stricturotomy with needle knife in the treatment of strictures from inflammatory bowel disease[J]. Inflamm Bowel Dis,2017,23(4):502-513.
[6] Koch M R,Jagannathan J P,Shinagare A B,et al.Imaging features of primary anorectal gastrointestinal stromal tumors with clinical and pathologic correlation[J]. Cancer Imaging, 2013, 12(3): 557-565.
[7] Acar T,Aslan F,Acar N,et al.Role of endoscopic interventions and electroincision in benign anastomotic strictures following colorectal surgery[J].Turk J Gastroenterol,2019,30(8):673-679.
[8] Bertocchi E, Barugola G, Benini M, et al. Colorectal anastomotic stenosis: lessons learned after 1643 colorectal resections for deep infiltrating endometriosis[J].Minim Invasive Gynecol,2019,26(1):100-104.
[9] 舒心,李广欣,朱曦龄,等.自体CIK细胞联合同步放化疗治疗局部晚期食管癌的临床研究[J].现代肿瘤医学,2015,23(10):1376-1380.
[10] Bravi I, Ravizza D, Fiori G, et al. Endoscopic electrocautery dilation of benign anastomotic colonic strictures: a single-center experience[J]. Surg Endosc, 2016, 30(1): 229-232.
[11] 李冰,周平红,姚礼庆,等.内镜下球囊扩张术治疗结直肠吻合口良性狭窄的临床回顾性分析[J].中华消化内镜杂志,2019,36(7):479-482.
[12] Yuan X, Liu W, Ye L, et al. Combination of endoscopic incision and balloon dilation for treatment of a completely obstructed anastomotic stenosis following colorectal resection:a case report[J].Medicine(Baltimore),2019,98(26):6292.
[13] Belverdere B,Frattaroli S,Crabone A,et al. Anastomotic strictures in colorectal surgery: treatment with endoscopic balloon dilation[J].G Chir, 2012, 33(6-7):243-245.
[14] Biraima Magdalena,Adamina Michel,Jost Res,et al. Long-term results of endoscopic balloon dilation for treatment of colorectal anastomotic stenosis.[J]. Surg Endosc,2016,30(10):116-118.
[15] 冉文斌,梁树辉.黏膜切开联合蕈型覆膜金属支架及球囊扩张治疗重度结直肠吻合口良性狭窄一例[J].中华消化内镜杂志,2020,37(10):750-751.
[16] Jain D,Sandhu N,Singhal S.Endoscopic electrocautery incision therapy for benign lower gastrointestinal tract anastomotic strictures[J].Ann Gastroenterol, 2017, 30(5):473-485.
[17] Chen Hong-Lin.A completely occluded colorectal anastomotic stenosis treated using an endoscopic incision method.[J]. Am J Gastro, 2018,113(2):174.
[18] Asayama N, Nagata S, Shigita K, et al. Effectiveness and safety of endoscopic radial incision and cutting for severe benign anastomotic stenosis after surgery for colorectal carcinoma: a three-case series[J].Endosc Int Open,2018,6(3):E335-E339.
[19] 詹磊磊,刘宇虎,陈桂权.经内镜放射状切开术在治疗结直肠吻合口良性狭窄中的临床应用[J].中国内镜杂志,2019,25(7):82-85.
[20] 王艳,苏峰,李园园,等.内镜下切开术和球囊扩张术治疗结直肠术后难治性吻合口良性狭窄的疗效比较[J].中国医师进修杂志,2019,42(5):429-432.