Academic Surgical Unit, University of Hull, Hull and East Yorkshire Hospitals NHS Trust, Cottingham, East Yorkshire, UK.
Dig Surg. 2012;29(4):287-91. doi: 10.1159/000341657. Epub 2012 Aug 20.
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.
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.
直肠吻合口狭窄的发生带来了三种广泛的治疗选择，即盆腔和腹部重大修正手术、粪便转流（造口）或经肛门入路的局部修正（包括内镜和透视）。本文更新了现有证据，并重点介绍了球囊扩张技术的结果。
使用搜索词（扩张或扩张）和（狭窄或狭窄）和（直肠或直肠）对 Medline 进行了搜索。为了减少发表偏倚，纳入的文章至少包括 10 例连续转诊接受治疗的患者。
结果/结论：本综述表明，可能选择了相对较短的狭窄进行球囊扩张，并且结果的主要发病率（0.45%）和死亡率（0%）非常低。
