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Endoscopic balloon dilatation for the treatment of mechanical intestinal obstruction secondary to colorectal anastomotic stenosis

Year 2013, Volume: 40 Issue: 4, 671 - 674, 01.12.2013
https://doi.org/10.5798/diclemedj.0921.2013.04.0356

Abstract

Intestinal obstruction is the partial or total blockage of the passage of the gastrointestinal system content. Intestinal obstruction is one of the main causes of emergent abdominal operations and the mortality and the morbidity of the condition could be high if not treated properly. Today, emergency colonoscopy can offer diagnosis and treatment for particularly acute mechanical intestinal obstruction in patients with colonic-level. Here, we presented a case of colonic stricture, which was developed due to an anatomic revision surgery, and treated with endoscopic dilatation. Anastomotic strictures endoscopic balloon dilatation of the quick, minimally invasive, high success rate, reproducibility and low complications application.

References

  • Silva AC, Pimenta M, Guimaraes LS. Small bowel obstruc- tion: what to look for. Radio Graphics 2009;29:423-439.
  • Helton WS, Fisichella PM. Intestinal obstruction. In: Wilm- ore DW, editor.ACS: principles & practice 2007. New York: WebMD Corp.; 2007.Section 5, Chapter 4.
  • Cappell MS, Batke M. Mechanical obstruction of the small bowel and colon. Med Clin N Am 2008;92:575–597.
  • Targownik LE, Spiegel BM, Sack J, et al. Colonic stent vs. emergency surgery for Self-expanding metallic stents for re-management of acute left-sided malignant living ma- lignant colorectal obstruct colonic obstruction: a decision analysis. Ann Surg Gastrointest Endosc 2007;246:24–30.
  • Placer C, Urdapilleta G, Markinez I, et al.Benign anastomot- ic strictures after oncologic rectal cancer surgery. Results of treatment with hydrostatic dilation. Cir Esp 2010;87:239- 243.
  • Donatelli G, Ceci V, Cereatti F, et al. Minimally invasive treatment of benign complete stenosis of colorectal anasto- mosis. Endoscopy 2008;40:263-264.
  • Werre A, Mulder C, Heteren C, et al. Dilation of benign strictures following low anterior resection using Savary- Gilliard bougies. Endoscopy 2000;32:385-388.
  • Mukai M, Kishima K, Iizuka S, et al. Endoscopic hook knife cutting before balloon dilatation of a severe anas- tomotic stricture after rectal cancer resection. Endoscopy 2009;41:193-194.
  • Giorgio P, 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.
  • Delaunay K, Barthelemy C, Dumas O, et al. Endoscopic therapy of benign colonic post-operative strictures: report on 27 cases. Gastroenterol Clin Biol 2003;27: 610-613.
  • Brüggmann D, Tchartchian G, Wallwiener M, et al. Intra- abdominal adhesions. Dtsch Arztebl Int 2010;107:769-775.
  • Athreya S, Moss J, Urquhart G, et al. Colorectal stenting for colonic obstruction: the indications, complications, effectiveness and outcome- 5-year review. Eur J Radiol 2006;60:91-94.
  • Frager D. Intestinal obstruction: Role of CT. Gastroenterol Clin N Am 2002; 31: 777–799.
  • Vitale MA, Villotti G, D’Alba L, et al.Preoperative colonos- copy after self-expandable metallic stent placement in pa- tients with acute neoplastic colon obstruction. Gastrointest Endosc 2006;63:814–819.
  • Baron TH.Interventional palliative strategies for malignant bowel obstruction. Curr Oncol Rep 2009;11:293-297.
  • Hirono S, Ueno M, Takifuji K, et al. Successful interven- tional dilatation of a complicated stricture of the anasto- motic colon: report of a case. Int Surg 2007;92:311-113.
  • Giorgio P, 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.

Mekanik intestinal obstrüksiyona neden olan kolorektal anostomoz darlığnın endoskopik balon dilatasyonla tedavisi

Year 2013, Volume: 40 Issue: 4, 671 - 674, 01.12.2013
https://doi.org/10.5798/diclemedj.0921.2013.04.0356

Abstract

İntestinal obstrüksiyon, intestinal içeriğin gastrointestinal sistem içinde distale doğru olan geçişinin, parsiyel ya da tam olarak engellenmesidir. İntestinal obstrüksiyon, acil karın ameliyatlarının önemli nedenlerinden biridir; uygun şekilde tedavi edilmediğinde yüksek oranda morbidite ve mortaliteye neden olabilmektedir. Günümüzde acil kolonoskopi, özellikle kolon kaynaklı akut mekanik intestinal obstrüksiyon vakalarının tanı ve tedavilerinde kullanılmaktadır. Biz burada revizyon cerrahisi sonrası anastomoz darlığı gelişen ve edoskopik dilatasyon yöntemi ile tedavi edilen bir vakayı taktim ettik. Anastomoz darlıklarında endoskopik dilatasyon, daha az invaziv, başarı şansı yüksek, komplikasyon oranları düşük ve tekrarlanabilir bir yöntemdir.

References

  • Silva AC, Pimenta M, Guimaraes LS. Small bowel obstruc- tion: what to look for. Radio Graphics 2009;29:423-439.
  • Helton WS, Fisichella PM. Intestinal obstruction. In: Wilm- ore DW, editor.ACS: principles & practice 2007. New York: WebMD Corp.; 2007.Section 5, Chapter 4.
  • Cappell MS, Batke M. Mechanical obstruction of the small bowel and colon. Med Clin N Am 2008;92:575–597.
  • Targownik LE, Spiegel BM, Sack J, et al. Colonic stent vs. emergency surgery for Self-expanding metallic stents for re-management of acute left-sided malignant living ma- lignant colorectal obstruct colonic obstruction: a decision analysis. Ann Surg Gastrointest Endosc 2007;246:24–30.
  • Placer C, Urdapilleta G, Markinez I, et al.Benign anastomot- ic strictures after oncologic rectal cancer surgery. Results of treatment with hydrostatic dilation. Cir Esp 2010;87:239- 243.
  • Donatelli G, Ceci V, Cereatti F, et al. Minimally invasive treatment of benign complete stenosis of colorectal anasto- mosis. Endoscopy 2008;40:263-264.
  • Werre A, Mulder C, Heteren C, et al. Dilation of benign strictures following low anterior resection using Savary- Gilliard bougies. Endoscopy 2000;32:385-388.
  • Mukai M, Kishima K, Iizuka S, et al. Endoscopic hook knife cutting before balloon dilatation of a severe anas- tomotic stricture after rectal cancer resection. Endoscopy 2009;41:193-194.
  • Giorgio P, 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.
  • Delaunay K, Barthelemy C, Dumas O, et al. Endoscopic therapy of benign colonic post-operative strictures: report on 27 cases. Gastroenterol Clin Biol 2003;27: 610-613.
  • Brüggmann D, Tchartchian G, Wallwiener M, et al. Intra- abdominal adhesions. Dtsch Arztebl Int 2010;107:769-775.
  • Athreya S, Moss J, Urquhart G, et al. Colorectal stenting for colonic obstruction: the indications, complications, effectiveness and outcome- 5-year review. Eur J Radiol 2006;60:91-94.
  • Frager D. Intestinal obstruction: Role of CT. Gastroenterol Clin N Am 2002; 31: 777–799.
  • Vitale MA, Villotti G, D’Alba L, et al.Preoperative colonos- copy after self-expandable metallic stent placement in pa- tients with acute neoplastic colon obstruction. Gastrointest Endosc 2006;63:814–819.
  • Baron TH.Interventional palliative strategies for malignant bowel obstruction. Curr Oncol Rep 2009;11:293-297.
  • Hirono S, Ueno M, Takifuji K, et al. Successful interven- tional dilatation of a complicated stricture of the anasto- motic colon: report of a case. Int Surg 2007;92:311-113.
  • Giorgio P, 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.
There are 17 citations in total.

Details

Primary Language Turkish
Journal Section Case Reports
Authors

İsmail Demiryılmaz This is me

İsmayil Yılmaz This is me

Kemal Peker This is me

Publication Date December 1, 2013
Submission Date March 2, 2015
Published in Issue Year 2013 Volume: 40 Issue: 4

Cite

APA Demiryılmaz, İ., Yılmaz, İ., & Peker, K. (2013). Mekanik intestinal obstrüksiyona neden olan kolorektal anostomoz darlığnın endoskopik balon dilatasyonla tedavisi. Dicle Tıp Dergisi, 40(4), 671-674. https://doi.org/10.5798/diclemedj.0921.2013.04.0356
AMA Demiryılmaz İ, Yılmaz İ, Peker K. Mekanik intestinal obstrüksiyona neden olan kolorektal anostomoz darlığnın endoskopik balon dilatasyonla tedavisi. diclemedj. December 2013;40(4):671-674. doi:10.5798/diclemedj.0921.2013.04.0356
Chicago Demiryılmaz, İsmail, İsmayil Yılmaz, and Kemal Peker. “Mekanik Intestinal obstrüksiyona Neden Olan Kolorektal Anostomoz darlığnın Endoskopik Balon Dilatasyonla Tedavisi”. Dicle Tıp Dergisi 40, no. 4 (December 2013): 671-74. https://doi.org/10.5798/diclemedj.0921.2013.04.0356.
EndNote Demiryılmaz İ, Yılmaz İ, Peker K (December 1, 2013) Mekanik intestinal obstrüksiyona neden olan kolorektal anostomoz darlığnın endoskopik balon dilatasyonla tedavisi. Dicle Tıp Dergisi 40 4 671–674.
IEEE İ. Demiryılmaz, İ. Yılmaz, and K. Peker, “Mekanik intestinal obstrüksiyona neden olan kolorektal anostomoz darlığnın endoskopik balon dilatasyonla tedavisi”, diclemedj, vol. 40, no. 4, pp. 671–674, 2013, doi: 10.5798/diclemedj.0921.2013.04.0356.
ISNAD Demiryılmaz, İsmail et al. “Mekanik Intestinal obstrüksiyona Neden Olan Kolorektal Anostomoz darlığnın Endoskopik Balon Dilatasyonla Tedavisi”. Dicle Tıp Dergisi 40/4 (December 2013), 671-674. https://doi.org/10.5798/diclemedj.0921.2013.04.0356.
JAMA Demiryılmaz İ, Yılmaz İ, Peker K. Mekanik intestinal obstrüksiyona neden olan kolorektal anostomoz darlığnın endoskopik balon dilatasyonla tedavisi. diclemedj. 2013;40:671–674.
MLA Demiryılmaz, İsmail et al. “Mekanik Intestinal obstrüksiyona Neden Olan Kolorektal Anostomoz darlığnın Endoskopik Balon Dilatasyonla Tedavisi”. Dicle Tıp Dergisi, vol. 40, no. 4, 2013, pp. 671-4, doi:10.5798/diclemedj.0921.2013.04.0356.
Vancouver Demiryılmaz İ, Yılmaz İ, Peker K. Mekanik intestinal obstrüksiyona neden olan kolorektal anostomoz darlığnın endoskopik balon dilatasyonla tedavisi. diclemedj. 2013;40(4):671-4.