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Endoscopic management of anastomotic colon strictures with electrocautery and balloon dilation

1987; Elsevier BV; Volume: 33; Issue: 1 Linguagem: Inglês

10.1016/s0016-5107(87)71480-1

1097-6779

David Neufeld, Eli I. Shemesh, Ira J. Kodner, Burton A. Shatz,

Colorectal Cancer Surgical Treatments

regarding colonic dilation. l ,3,8 Previously, the treatment of benign stenosis was a matter for surgery, and only strictures of the distal rectum and anal region were successfully treated by Regar dilating tubes. Fiberoptic endoscopy allows a conservative alternative approach if the stenosis is benign, cicatricial, and short, even in segments distant from the anus. Nevertheless, the procedure is not without risk and requires technical skill. Moreover, we believe that in some cases it should be complementary rather than an alternative to surgery. In fact, dilation can sometimes be diagnostic, showing a recurrent neoplasia above the stricture which was believed to be cicatricial by biopsy. In these cases dilation may be the first step of a second look operation. In conclusion, we believe that endoscopic dilation can become a routine technique in the diagnosis and treatment of colonic stenosis. With more experience its limits will be better defined, but in our early