[结肠吻合口狭窄患者的内镜下球囊扩张治疗。个人经验]
[Endoscopic therapy with balloon dilatation in patients with colonic post anastomotic strictures. Personal experience].
作者信息
Zippi M, Traversa G, De Felici I, Febbraro I, Mattei E, Pica R, Occhigrossi G
机构信息
Unità di Endoscopia Digestiva e Gastroenterologia, Ospedale Sandro Pertini, Roma, Italia.
出版信息
Clin Ter. 2011;162(6):539-42.
BACKGROUND AND AIM
Colorectal post anastomotic benign strictures are not uncommon. The purpose of this study was to investigate the results of endoscopic balloon dilatation of anastomotic strictures.
MATERIALS AND METHODS
The study was on a retrospective survey. Records of 14 consecutive patients with anastomotic strictures (5 F, 9 M; median age 64 years; range: 50-87 years), attending our GI Unit from February 1st 2008 to December 31st 2009, were analyzed. All patients had been operated for colon carcinoma. All of them were treated with balloon dilatation.
RESULTS
All the patients presented symptoms of obstruction. The total number of dilatation sessions was 37 and the median number of sessions by patient was 1,5 (range: 1-7). After the procedures, all patients had an improvement of symptoms. No complications were observed.
CONCLUSIONS
Our experience underlines that endoscopic ballon dilatation, in patients with post anastomotic benign strictures, is a safe technique with a low rate of complications.
背景与目的
结直肠吻合口良性狭窄并不少见。本研究旨在探讨内镜下球囊扩张治疗吻合口狭窄的效果。
材料与方法
本研究为回顾性调查。分析了2008年2月1日至2009年12月31日期间在我院胃肠科就诊的14例连续吻合口狭窄患者（5例女性，9例男性；中位年龄64岁；范围：50 - 87岁）的记录。所有患者均因结肠癌接受手术。所有患者均接受球囊扩张治疗。
结果
所有患者均出现梗阻症状。扩张总次数为37次，患者的中位扩张次数为1.5次（范围：1 - 7次）。治疗后，所有患者症状均有改善。未观察到并发症。
结论
我们的经验表明，对于吻合口良性狭窄患者，内镜下球囊扩张是一种安全的技术，并发症发生率低。
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