Digestive Surgery

Review Article

Free Access

Balloon Dilatation of Benign Rectal Anastomotic Strictures – A Review

Ragg J.a · Garimella V.a · Cast J.b · Hunter I.A.a · Hartley J.E.a

Author affiliations

aAcademic Surgical Unit, University of Hull, and bDepartment Radiology, Hull and East Yorkshire Hospitals NHS Trust, Cottingham, East Yorkshire, UK

Corresponding Author

Mr. J.E. Hartley

Academic Surgical Unit, Castle Hill Hospital

Castle Road, Cottingham HU16 5JQ (UK)

Tel. +44 1482 622393

E-Mail J.E.Hartley@hull.ac.uk

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Dig Surg 2012;29:287–291

Abstract

Background: The occurrence of anastomotic stricture at the level of the rectum gives rise to three broad therapeutic options, namely major pelvic and abdominal revisional surgery, faecal diversion (stoma), or local revision by transanal approaches (including endoscopic and fluoroscopic). This article updates the current evidence and focuses on the results of the balloon dilatation technique. Methods: A Medline search was carried out using the search terms (dilatation OR dilatation) AND (stricture OR strictures OR stenosis OR stenotic) AND (rectum OR rectal). In an effort to lessen publication bias, articles included at least 10 patients who were consecutively referred for treatment. Results/Conclusion: This review would suggest that probably relatively short strictures have been chosen for balloon dilatation and that the results have had a very low major morbidity (0.45%) and mortality (0%) rate.

© 2012 S. Karger AG, Basel




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Article / Publication Details

First-Page Preview
Abstract of Review Article

Received: April 22, 2012
Accepted: July 05, 2012
Published online: August 20, 2012
Issue release date: November 2012

Number of Print Pages: 5
Number of Figures: 0
Number of Tables: 2

ISSN: 0253-4886 (Print)
eISSN: 1421-9883 (Online)

For additional information: https://www.karger.com/DSU


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