Endoscopic laser stricturotomy and balloon dilatation for benign colorectal strictures |
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Authors: | Luck A Chapuis P Sinclair G Hood J |
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Affiliation: | University of Sydney Department of Colon and Rectal Surgery and Gastroenterology Unit at Concord Hospital, Concord, New South Wales, Australia. |
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Abstract: | Background : A fibrous stricture may develop at the site of a colorectal anastomosis or as a complication following abdominal aortic surgery. A major resection may be necessary if the stricture cannot be released. The authors’ experience with endoscopic stricturotomy using neodymium:yttrium–aluminium–garnet laser, together with balloon dilatation, as a conservative method of treating such strictures, is reported here. Methods : The case notes of all patients referred for laser treatment of benign distal large bowel strictures at Concord Hospital were reviewed. Results : Ten patients had endoscopic laser treatment combined with endoscopic balloon dilatation between October 1991 and July 1999. An anastomotic stricture had developed in eight patients and two patients had a fibrous stricture of the upper rectum after abdominal aortic aneurysm surgery. Nine of the 10 patients had their stricture treated successfully without complication or recurrence (median follow up 82 months; range: 14–104 months). The remaining patient re‐presented with a large bowel obstruction at the site of his stricture 6 years following initial treatment. Conclusion : A protocol combining laser stricturotomy with balloon dilatation appears to be a safe and effective treatment of such strictures. |
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Keywords: | balloon dilatation colorectal stricture Nd:YAG laser stricturotomy |
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