Effects of endoscopic balloon dilatation on treatment of benign stenosis of colorectal anastomosis: a retrospective study

中华消化内镜杂志 Pub Date : 2019-07-20 DOI:10.3760/CMA.J.ISSN.1007-5232.2019.07.004

Bing Li, P. Zhou, L. Yao, Meidong Xu, Z. Ren, Qiang Shi, Tao Chen, S. Cai, Z. Qi

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引用次数: 0

Abstract

Objective To evaluate the efficacy and safety of endoscopic balloon dilation (EBD) on treatment of benign colorectal anastomotic stenosis. Methods Data of 36 patients with benign colorectal anastomotic stenosis undergoing EBD at Zhongshan Hospital from 2011 to 2015 were reviewed retrospectively. The number of dilation, complications rate, short-term effects and recurrence rate of stenosis were analyzed. Results Thirty-six patients had post-surgery anastomotic stenosis within 2-49 months (median 6 months), including 10 (27.8%) patients of grade 1 stenosis, 15 (41.7%) of grade 2 stenosis, and 11 (30.5%) of grade 3 stenosis. The anastomotic distance from anus was 3-24 cm (median 6 cm). The 36 patients underwent 80 times of EBD with mean time of 2.22. Among them, 69.4% (25/36) cases received 1-2 times and 30.6% (11/36) received 3 times or more. During the EBD operation, 14 (17.5%) patients had minor bleeding, and intraoperative or postoperative perforation did not appeared. Postoperative obstructive symptoms were relieved in all patients. The anastomotic diameter was greater than 20 mm and EBD treatment was successful. Postoperative follow-up was 22-76 months (median 44 months). Four (11.1%) patients had recurrence of anastomotic benign stenosis at 7, 11, 18, and 63 months after the last time of EBD, respectively, and the symptoms were improved after the second treatment. Conclusion EBD is safe and effective in treating benign colorectal anastomotic stenosis, with better short-term and long-term outcomes. Key words: Colon; Rectum; Surgical stomas; Benign stenosis; Endoscopic balloon dilation

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内镜下球囊扩张术治疗结肠吻合口良性狭窄的回顾性研究

目的评价内镜球囊扩张术（EBD）治疗良性结肠吻合口狭窄的疗效和安全性。方法回顾性分析2011～2015年中山医院36例结直肠癌良性吻合口狭窄患者行EBD的临床资料。分析扩张次数、并发症发生率、近期疗效及狭窄复发率。结果36例患者术后2～49个月（中位6个月）出现吻合口狭窄，其中1级狭窄10例（27.8%），2级狭窄15例（41.7%），3级狭窄11例（30.5%）。肛门吻合距离为3-24cm（中位6cm）。36例患者行EBD 80次，平均2.22次。其中，69.4%（25/36）的病例接受了1-2次治疗，30.6%（11/36）的患者接受了3次或以上治疗。在EBD手术中，14名（17.5%）患者出现轻微出血，术中或术后未出现穿孔。所有患者术后梗阻症状均得到缓解。吻合口直径大于20mm，EBD治疗成功。术后随访22-76个月（中位数44个月）。4例（11.1%）患者分别在最后一次EBD后7、11、18和63个月出现吻合口良性狭窄复发，第二次治疗后症状有所改善。结论EBD治疗良性结肠吻合口狭窄安全有效，具有较好的近期和远期疗效。关键词：科隆；直肠；外科造口术；良性狭窄；内镜球囊扩张术

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来源期刊

中华消化内镜杂志

CiteScore

0.10

自引率

0.00%

发文量

7555

期刊介绍： Chinese Journal of Digestive Endoscopy is a high-level medical academic journal specializing in digestive endoscopy, which was renamed Chinese Journal of Digestive Endoscopy in August 1996 from Endoscopy. Chinese Journal of Digestive Endoscopy mainly reports the leading scientific research results of esophagoscopy, gastroscopy, duodenoscopy, choledochoscopy, laparoscopy, colorectoscopy, small enteroscopy, sigmoidoscopy, etc. and the progress of their equipments and technologies at home and abroad, as well as the clinical diagnosis and treatment experience. The main columns are: treatises, abstracts of treatises, clinical reports, technical exchanges, special case reports and endoscopic complications. The target readers are digestive system diseases and digestive endoscopy workers who are engaged in medical treatment, teaching and scientific research. Chinese Journal of Digestive Endoscopy has been indexed by ISTIC, PKU, CSAD, WPRIM.