Insulation-Tipped Knife as an Endoscopic Treatment Method for Benign Anastomotic Stricture After Low Anterior Resection

Year 2022, Volume: 75 Issue: 3, 475 - 477, 18.10.2022

Mehmet İbiş , Mustafa Ergin

Abstract

Benign anastomotic strictures are one of the most common complications after low anterior resection. While endoscopic treatments such as balloon dilation can be applied to these strictures, some patients may require surgical treatment. We present a 65-year-old patient who developed benign anastomotic stenosis after low anterior resection, and the stenosis did not heal despite recurrent balloon dilatation, and we performed an incision with an Insulation-Tipped (IT) knife. After the incision with the IT knife, the patient is followed up asymptomatically.

Keywords

Anastomotic Stenosis , Endoscopic Treatment , IT Knife Incision

Ethical Statement

-

Supporting Institution

-

Project Number

-

Thanks

-

Low Anterior Rezeksiyon Sonrası Gelişen Benign Anastomoz Darlığı için Endoskopik Tedavi Yöntemi Olarak Insulation-Tipped Knife

Abstract

Benign anastomoz darlıkları, low anterior rezeksiyon sonrası en sık görülen komplikasyonlardan biridir. Bu darlıklara balon dilatasyonu gibi endoskopik tedaviler uygulanabilirken bazı hastalarda cerrahi tedavi gerekebilir. Low anterior rezeksiyon sonrası semptomatik benign anastomoz darlığı gelişen ve tekrarlayan balon dilatasyonlarına rağmen darlığı iyileşmeyen, Insulation-Tipped (IT) knife ile insizyon yaptığımız 65 yaşında bir hastayı sunduk. IT knife ile yapılan tedavinin ardından hasta asemptomatik olarak takip edilmektedir.

Keywords

Anastomoz Darlığı , Endoskopik Tedavi , IT Knife ile İnsizyon

Ethical Statement

-

Supporting Institution

-

Project Number

-

Thanks

-

References

• 1. Curcio G, Spada M, di Francesco F, et al. “Completely obstructed colorectal anastomosis: a new non-electrosurgical endoscopic approach before balloon dilatation.” World J Gastroenterol. 2010;16:4751-4754.
• 2. Yaman İ, Derici H. Endoscopic Dilatation of Benign Colonic Anastomotic Stricture. Kolon Rektum Hast Derg. 2010;20:134-138.
• 3. Pietropaolo, V. Masoni L, Ferrara M, Montori A. “Endoscopic dilation of colonic postoperative strictures.” Surgical Endoscopy. 1990;4:26-30.
• 4. Delaunay-Tardy K, Barthélémy C, Dumas O, et al. “Endoscopic therapy of benign colonic post-operative strictures: report on 27 cases.” Gastroenterol Clin Biol. 2003;27:610-613. 5. Di Giorgio P, De Luca L, Rivellini G, et al. “Endoscopic dilation of benign colorectal anastomotic stricture after low anterior resection: a prospective comparison study of two balloon types.” Gastrointest Endosc. 2004;60:347- 350.
• 6. Ridtitid W, Siripun A, Rerknimitr R. “Stricture at colorectal anastomosis: to dilate or to incise.” Endosc Int Open. 2018;6:E340-E341.
• 7. Mori G, Nonaka S, Oda I, et al. “Novel strategy of endoscopic submucosal dissection using an insulation-tipped knife for early gastric cancer: nearside approach method.” Endosc Int Open. 2015;3:E425-E431.
• 8. Choi HS, Chun HJ. “Accessory devices frequently used for endoscopic submucosal dissection.” Clin Endosc. 2017;50:224.