Endoscopic Stricturotomy for Patients With Postoperative Benign Anastomotic Stricture for Colorectal Cancer

Abstract

BACKGROUND:Postoperative benign anastomotic stricture is associated with colorectal anastomosis following surgery for colorectal cancer. Endoscopic stricturotomy is a novel technique that has been demonstrated to be safe and effective for the treatment of colorectal anastomotic stricture in several case reports and series. OBJECTIVE:We designed this study to investigate the efficacy of endoscopic stricturotomy for postoperative benign anastomotic stricture in patients for colorectal cancer. The primary outcomes were stricture-recurrencefree survival and reoperation-free survival.

Endoscopic recanalization of a completely obstructed colorectal anastomosis using magnets

“…A previous case series indicated its safety and effectiveness 1 . Case reports have described colorectal anastomosis recanalization through techniques such as stricturotomy 2 or in combination with endoscopic ultrasound 3 . Nevertheless, when access to both sides of the obstructed anastomosis is possible, the use of magnets emerges as a technically easier alternative.…”

Complete anastomotic stenosis treated by combined stricturotomy using two colonoscopes

“…Patients with postoperative benign anastomotic stricture after treatment for colorectal cancer can be treated successfully by endoscopic stricturotomy 1 2 . However, the treatment of complete anastomotic stenosis is difficult due to the absence of the intestinal canal.…”

Recalcitrant rectal stricture following circumferential endoscopic mucosal resection: novel application of endoscopic stricturotomy

“…Extensive thermal therapy to treat bleeding likely played a role in the degree of scar formation in this case. Endoscopic stricturotomy has been utilized in the management of Crohn's and anastomotic strictures with success [2,3]. To our knowledge, there are no published data on the management of strictures following endoscopic resection.…”