Benign Colonic Strictures - A Study of Twenty Cases

Abstract

An analysis of twenty cases of benign colonic strictures is presented. Thirteen (65%) had tubercular strictures, 3 (15%) had ulcerative colitis, one each had ischaemic colitis and Crohn's disease. In 2 cases the cause could not be established. Eleven patients (55%) presented with subacute intestinal obstruction and 7 (35%) with diarrhoea. Specific diagnoses based on histopathology could be made in only 45 per cent of cases. Most of the patients responded to specific medical therapy. Seven patients (35%) required surgical intervention.

Amebic colonic stricture: An unusual presentation

“…The various etiologies of benign colonic strictures are tuberculosis, ischemic colitis, inflammatory bowel disease, radiation colitis, and amebic colitis. [1] Colonic amebiasis is usually diagnosed clinically; however, it may masquerade as malignancy and can lead to a diagnostic dilemma. [2] Hereby, we present a case of a stricture in the transverse colon secondary to amebiasis which was managed surgically.…”

Benign Strictures of the Gastrointestinal Tract

“…Abdominal tuberculosis (AT) is the single commonest cause of such strictures in India. A paper elsewhere in this journal underlines this fact [10]. Inflammatory bowel disease is the commonest cause of such strictures in the western countries.…”

“…Tuberculous strictures tend to resolve with antituberculous drugs [1]. Stricturoplasty is required only in the minority of cases [10]. Aggressive endoscopists have already started using balloon dilatation for lower gut strictures but the fmal word has not yet been written in this regard.…”