Right and Wrong Approaches To Colorectal Anastomotic Strictures: When? Which Technique?
INTRODUCTION[|]The aim of this study was to examine and describe the efficiency of endoscopic balloon and bougie dilatation techniques applied to anastomotic strictures developed in patients who underwent a low anterior resection (LAR) and ileostomy.[¤]METHODS[|]A total of 167 patients underwent an...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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KARE Publishing
2018-07-01
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| Series: | Southern Clinics of Istanbul Eurasia |
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| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-41636 |
| _version_ | 1828021497874087936 |
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| author | Selçuk Kaya Yunus Emre Altuntaş Önder Altın Ahmet Şeker Hasan Ediz Sıkar Kenan Çetin Nejdet Bildik Hasan Fehmi Küçük |
| author_facet | Selçuk Kaya Yunus Emre Altuntaş Önder Altın Ahmet Şeker Hasan Ediz Sıkar Kenan Çetin Nejdet Bildik Hasan Fehmi Küçük |
| author_sort | Selçuk Kaya |
| collection | DOAJ |
| description | INTRODUCTION[|]The aim of this study was to examine and describe the efficiency of endoscopic balloon and bougie dilatation techniques applied to anastomotic strictures developed in patients who underwent a low anterior resection (LAR) and ileostomy.[¤]METHODS[|]A total of 167 patients underwent an LAR with an ileostomy due to rectal cancer between July 2014 and December 2017. Nineteen (%11.4) cases with anastomosis stricture were retrospectively evaluated and included in the study. Patients were classified according to the dilation time. Group 1 patients received dilatation within the first 3 months postoperatively, and Group 2 patients received dilatation after 3 months. Demographic data, the dilatation technique, the number of dilatation applications, the level of the stricture, the success rate, and the stoma closure time were evaluated.[¤]RESULTS[|]In Group 1, the mean number of dilatation procedures was 1.8 (range: 1–3), whereas in Group 2, the mean was 3.8 (range: 2–5). The success rate was 100% in Group 1 and 66.6% in Group 2. There was a statistically significant difference between the groups in the requirement for dilatation and the success rate (p=0.022, p=0.028, respectively).[¤]DISCUSSION AND CONCLUSION[|]It was concluded that dilatation techniques are most successful when applied within 3 months after surgery in cases with stenotic anastomoses. The risk of strictures and the number of repeated dilatations was lower and the success rate was significantly higher in these cases.[¤] |
| first_indexed | 2024-04-10T11:54:43Z |
| format | Article |
| id | doaj.art-4da4ea6b55434049afc983bab71ffe17 |
| institution | Directory Open Access Journal |
| issn | 2587-0998 |
| language | English |
| last_indexed | 2024-04-10T11:54:43Z |
| publishDate | 2018-07-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | Southern Clinics of Istanbul Eurasia |
| spelling | doaj.art-4da4ea6b55434049afc983bab71ffe172023-02-15T16:16:52ZengKARE PublishingSouthern Clinics of Istanbul Eurasia2587-09982018-07-0129210510910.14744/scie.2018.41636SCIE-41636Right and Wrong Approaches To Colorectal Anastomotic Strictures: When? Which Technique?Selçuk Kaya0Yunus Emre Altuntaş1Önder Altın2Ahmet Şeker3Hasan Ediz Sıkar4Kenan Çetin5Nejdet Bildik6Hasan Fehmi Küçük7Department of General Surgery, Health Sciences University, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyDepartment of General Surgery, Health Sciences University, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyDepartment of General Surgery, Health Sciences University, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyDepartment of General Surgery, Health Sciences University, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyDepartment of General Surgery, Health Sciences University, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyDepartment of General Surgery, Health Sciences University, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyDepartment of General Surgery, Health Sciences University, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyDepartment of General Surgery, Health Sciences University, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyINTRODUCTION[|]The aim of this study was to examine and describe the efficiency of endoscopic balloon and bougie dilatation techniques applied to anastomotic strictures developed in patients who underwent a low anterior resection (LAR) and ileostomy.[¤]METHODS[|]A total of 167 patients underwent an LAR with an ileostomy due to rectal cancer between July 2014 and December 2017. Nineteen (%11.4) cases with anastomosis stricture were retrospectively evaluated and included in the study. Patients were classified according to the dilation time. Group 1 patients received dilatation within the first 3 months postoperatively, and Group 2 patients received dilatation after 3 months. Demographic data, the dilatation technique, the number of dilatation applications, the level of the stricture, the success rate, and the stoma closure time were evaluated.[¤]RESULTS[|]In Group 1, the mean number of dilatation procedures was 1.8 (range: 1–3), whereas in Group 2, the mean was 3.8 (range: 2–5). The success rate was 100% in Group 1 and 66.6% in Group 2. There was a statistically significant difference between the groups in the requirement for dilatation and the success rate (p=0.022, p=0.028, respectively).[¤]DISCUSSION AND CONCLUSION[|]It was concluded that dilatation techniques are most successful when applied within 3 months after surgery in cases with stenotic anastomoses. The risk of strictures and the number of repeated dilatations was lower and the success rate was significantly higher in these cases.[¤]https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-41636anastomosiscolorectal; dilatation; stricture. |
| spellingShingle | Selçuk Kaya Yunus Emre Altuntaş Önder Altın Ahmet Şeker Hasan Ediz Sıkar Kenan Çetin Nejdet Bildik Hasan Fehmi Küçük Right and Wrong Approaches To Colorectal Anastomotic Strictures: When? Which Technique? Southern Clinics of Istanbul Eurasia anastomosis colorectal; dilatation; stricture. |
| title | Right and Wrong Approaches To Colorectal Anastomotic Strictures: When? Which Technique? |
| title_full | Right and Wrong Approaches To Colorectal Anastomotic Strictures: When? Which Technique? |
| title_fullStr | Right and Wrong Approaches To Colorectal Anastomotic Strictures: When? Which Technique? |
| title_full_unstemmed | Right and Wrong Approaches To Colorectal Anastomotic Strictures: When? Which Technique? |
| title_short | Right and Wrong Approaches To Colorectal Anastomotic Strictures: When? Which Technique? |
| title_sort | right and wrong approaches to colorectal anastomotic strictures when which technique |
| topic | anastomosis colorectal; dilatation; stricture. |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-41636 |
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