Successful endoscopic incision of pouch-anal stricture in a patient with ulcerative colitis

Wallstabe, I.; Teich, Niels

doi:10.1007/s10151-015-1315-4

Cited by 5 publications

(20 citation statements)

References 6 publications

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Section: Resultsmentioning

confidence: 99%

“…Ten original articles were considered appropriate to be included in this review article [ 4 - 13 ]. Three studies described the application of EECI: a case report from Germany [ 4 ], a case series from Korea [ 7 ] and a retrospective case series from Italy [ 9 ]. Three studies described an endoscopic electrocautery radial incision and cutting (RIC) technique: one case report from Brazil [ 5 ], a retrospective case series from Japan [ 8 ] and a prospective study from Italy [ 10 ].…”

Section: Resultsmentioning

confidence: 99%

“…Studies included in this review identified patients with post-surgical anastomotic stricture [ 4 - 13 ]. Post-surgical anastomotic stricture can occur as a result of tissue ischemia, inflammation, hemorrhage at the site of the suture line, anastomotic site leakage or recurrence of disease [ 17 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…The spectrum of surgical resections included those for malignant primary lesions, such as low anterior resection for rectosigmoid colon cancer and rectal cancer, intersphincteric resection for lower rectal cancer, hemicolectomy or subtotal colectomy [ 5 , 7 - 13 ]. Patients undergoing proctocolectomy with ileal-pouch anal anastomosis for ulcerative colitis, sigmoid resection for diverticulitis and volvulus, prophylactic proctocolectomy for familial adenomatous polyposis were also included by some studies in this review [ 4 , 6 , 9 , 10 ]. Stricture formation across all studies included occurred at the site of the surgical anastomosis [ 4 - 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…The references of pertinent studies were searched manually to identify additional relevant studies. The search yielded case reports [ 4 - 6 ], case series [ 7 - 9 ], and prospective studies [ 10 - 13 ]. The stricture etiology, characteristics and location, device details, procedure details, success rate, complications and limitations were reviewed for each study.…”

Section: Methodsmentioning

confidence: 99%

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Endoscopic electrocautery incision therapy for benign lower gastrointestinal tract anastomotic strictures

Jain¹,

Sandhu

Singhal

2017

aog

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Benign anastomotic strictures can occur in up to 22% of patients who undergo colonic or rectal resection. Traditionally, surgery was the preferred method of treatment, but, over time, endoscopic techniques, such as balloon dilation, have become the preferred modality. However, a high stricture recurrence rate of up to 18-20% and the increased risk of perforation due to uncontrolled stretching are its major drawbacks. Endoscopic electrocautery incision (EECI) allows for controlled mucosal incision in predetermined locations of stricture. In this meta-analysis, we have summarized case reports, case series, retrospective studies and prospective studies describing the different endoscopic EECI techniques used for benign lower gastrointestinal tract anastomotic strictures. Our analysis showed that EECI, either alone or in combination with other modalities (e.g. balloon dilation, steroid injection or argon plasma coagulation) is an effective treatment option for both treatment-naïve and refractory short non-inflammatory strictures. The overall success rate for EECI-based therapy for benign colorectal stricture was 98.4%, with a stricture recurrence rate of 6.0%. No major adverse event (bleeding, infection or perforation) was reported. Only minor adverse events (abdominal pain) were reported in 3.8% of the population.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

Endoscopic electrocautery incision therapy for benign lower gastrointestinal tract anastomotic strictures

Jain¹,

Sandhu

Singhal

2017

aog

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Management of Ileal Pouch Strictures and Anal Stricturing Disease: A Clinical Challenge

Ashburn

Hull

2018

Fibrostenotic Inflammatory Bowel Disease

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Hormonal contraceptives and venous thromboembolism: Are inflammatory bowel disease patients at increased risk? A retrospective study on a prospective database

Pellino

Sciaudone

Caprio

et al. 2015

Annals of Medicine &Amp; Surgery

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Recent studies showed an increased risk of venous thromboembolism (VTE) in patients receiving oral hormonal contraceptives. Inflammatory bowel diseases (IBD) often affect young patients and represent a pro-coagulant condition. This could result from active inflammation, but a potential role for genetic and molecular factors has been suggested. Hormonal contraceptives have also been associated with increased risk of VTE and the risk may be greater in IBD patients that already are in a pro-coagulant status, but no definitive data are available in this population. The purpose of our study was to seek for differences of the risk of VTE in IBD patients receiving hormonal contraceptives compared with controls.This is a retrospective study. We interrogated a prospectively maintained database of IBD patients observed at our outpatient clinic between 2000 and 2014. All female patients managed conservatively, with no active disease, who were taking oral hormone contraceptives in the study period, were included. Patients observed for other-than-IBD conditions at our Unit and at the Unit of Gynaecology and Obstetrics, receiving contraceptives, served as controls (ratio 1:2). Patients with cancer, those receiving hormonal therapy, and those with known genetic predisposition to VTE were excluded.We included 146 six IBD patients and 290 controls. One patient in each group developed VTE. Overall, the incidence of VTE associated with oral contraceptives was 0.5%. IBD was associated with increased risk of VTE (OR 1.9, 95% CI 0.12–32.12, p > 0.99). Active smokers since 10 years (17.2%) had higher risks of VTE (OR 8.6, 95% CI 1.16–19.25, p = 0.03).Our data show that patients with IBD in remission are not at higher risk of VTE due to oral oestrogen-containing contraceptives compared with non-IBD controls. Smokers are at increased risk, irrespective of the baseline disease.

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Successful endoscopic incision of pouch-anal stricture in a patient with ulcerative colitis

Cited by 5 publications

References 6 publications

Endoscopic electrocautery incision therapy for benign lower gastrointestinal tract anastomotic strictures

Endoscopic electrocautery incision therapy for benign lower gastrointestinal tract anastomotic strictures

Management of Ileal Pouch Strictures and Anal Stricturing Disease: A Clinical Challenge

Hormonal contraceptives and venous thromboembolism: Are inflammatory bowel disease patients at increased risk? A retrospective study on a prospective database

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