Kwon Jang Hoon, Han Koon Hee, Kim Moon Ho, Jang Woo Sung, Yun Jung Ho, Song Yun A, Park Jong Kyu, Cheon Gab Jin
Division of Gastroenterology, Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.
Korean J Gastroenterol. 2014 Sep 25;64(3):164-7. doi: 10.4166/kjg.2014.64.3.164.
Anastomotic stenosis of the colon is not an uncommon finding; however, its frequency varies from one study to another. Traditionally, postoperative colonic stenosis is managed surgically. However, endoscopic therapy has recently become the preferred treatment modality over traditional surgery. Good short-term success has been achieved with use of endoscopic balloon dilation; however, restenosis may occur over time in 14% to 25% of patients. The current report showed the effectiveness and usefulness of an insulated-tip knife (IT-knife) for electrocautery therapy of a patient with symptomatic anastomotic colonic stenosis.
结肠吻合口狭窄并非罕见；然而，其发生率在不同研究中有所差异。传统上，术后结肠狭窄通过手术治疗。然而，内镜治疗近来已成为优于传统手术的首选治疗方式。使用内镜球囊扩张术已取得良好的短期疗效；然而，随着时间推移，14%至25%的患者可能会出现再狭窄。本报告展示了绝缘头刀（IT刀）对有症状的结肠吻合口狭窄患者进行电灼治疗的有效性和实用性。
