内镜下电灼治疗结直肠良性吻合口狭窄
Endoscopic treatment of benign anastomotic colorectal stenosis with electrocautery.
作者信息
Brandimarte G, Tursi A, Gasbarrini G
机构信息
Dept. of Internal Medicine, Cristo Re Hospital, Rome, Italy.
出版信息
Endoscopy. 2000 Jun;32(6):461-3. doi: 10.1055/s-2000-651.
BACKGROUND AND STUDY AIMS
Benign anastomotic colorectal stenosis can occur after surgery and can require surgical or endoscopic dilation. This study aimed to investigate the use of electrocautery in this area.
PATIENTS AND METHODS
We enrolled 39 consecutive patients (25 men, 14 women; mean age 61, range 48-77) suffering from anastomotic colorectal stenosis, demonstrated by colonoscopy (19 patients) or by barium enema (20 patients). We performed endoscopic dilation of the strictures with electrocautery once only in each patient.
RESULTS
In all patients we obtained dilation of the strictures without any immediate or delayed procedure-related complications. No recurrence of the stenosis was demonstrated during a follow-up of a mean of 25 months (range 8-43 months).
CONCLUSIONS
This study shows that endoscopic electrocautery is a safe and effective treatment of anastomotic colorectal stenosis.
背景与研究目的
结直肠吻合口良性狭窄可在手术后发生，可能需要手术或内镜扩张治疗。本研究旨在探讨电灼术在该领域的应用。
患者与方法
我们连续纳入了39例患者（25例男性，14例女性；平均年龄61岁，范围48 - 77岁），这些患者经结肠镜检查（19例）或钡剂灌肠（20例）证实患有结直肠吻合口狭窄。我们对每位患者仅进行了一次电灼术内镜下狭窄扩张。
结果
所有患者的狭窄均成功扩张，且未出现任何与操作相关的即刻或延迟并发症。在平均25个月（范围8 - 43个月）的随访期间，未发现狭窄复发。
结论
本研究表明，内镜下电灼术是治疗结直肠吻合口狭窄的一种安全有效的方法。
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