Endoscopic dilation of colonic postoperative strictures

摘要: After the use of surgical staplers had become widespread, number colonic postoperative stenoses was observed to have increased. Nevertheless, clinical relevance this observation is minimal since only 2–5% patients complain chronic constipation or obstruction symptoms. In such cases medical therapy somewhat troublesome, and treatment always implies a major operation. Endoscopic dilation has proved be reliable, simple, safe therapeutic alternative. Forty-two with evidence stenosis either colocolic colorectal anastomosis underwent mechanical pneumatic in our unit: 19 temporary diverting stoma were dilated before colostomy removed; remaining 23 cases, given according patients' symptoms because it not possible pass an endoscope. The overall failure rate 2.4%, no morbidity mortality found. When percentages successfully treated one session alone compared (76.9% versus 51.8%), balloon found more effective than bougienage. opinion, endoscopic represents mainstay anastomotic strictures, surgery being reserved for rare failures, when recurrence cancer should suspected.