Endoscopic incision and balloon dilatation for cicatricial anastomotic strictures.

摘要: BACKGROUND/AIMS: Endoscopic incision or balloon dilatation is common therapy for cicatricial anastomotic strictures after gastrointestinal surgery. These therapies are not always effective. METHODOLOGY: There were 6 patients who failed either endoscopic alone and underwent a combination of the two therapies. Two three small radial incisions made in scar stricture with electrocautery under direct vision fiberscopy. Then, split bluntly stenosis was dilated over 15-20 minutes balloon-dilator. This procedure performed once twice at 2-week interval. RESULTS: In 5 patients, improved subjective criteria objective symptoms. last patient, only improvement noted. no complications. CONCLUSIONS: plus an effective safe treatment which have alone.