Chon Hyung Ku, Shin Ik Sang, Kim Sang Wook, Lee Soo Teik
Division of Gastroenterology, Department of Internal Medicine, Chonbuk National University College of Medicine and Hospital, Jeonju, Korea.
Intest Res. 2016 Jul;14(3):285-8. doi: 10.5217/ir.2016.14.3.285. Epub 2016 Jun 27.
Endoscopic treatments have emerged as an alternative to surgery, in the treatment of benign colorectal stricture. Unlike endoscopic balloon dilatation, there is limited data on endoscopic electrocautery incision therapy for benign colorectal stricture, especially with regards to safety and long-term patency. We present a case of a 29-year-old female with Crohn's disease who had difficulty in defecation and passing thin stools. A pelvic magnetic resonance imaging scan, gastrograffin enema, and sigmoidoscopy showed a high-grade anorectal stricture. An endoscopic insulated-tip knife incision was successfully performed to resolve the problem. From our experience, we suggest that endoscopic insulated-tip knife treatment may be a feasible and effective modality for patients with short-segment, very rigid, fibrotic anorectal stricture.
在内镜治疗良性大肠狭窄方面，其已成为手术治疗的一种替代方法。与内镜球囊扩张术不同，关于内镜电灼切开术治疗良性大肠狭窄的数据有限，尤其是在安全性和长期通畅性方面。我们报告一例29岁患有克罗恩病的女性患者，该患者排便困难且大便变细。盆腔磁共振成像扫描、泛影葡胺灌肠造影和乙状结肠镜检查显示为高位肛管直肠狭窄。成功实施了内镜绝缘头刀切开术以解决该问题。根据我们的经验，我们认为内镜绝缘头刀治疗对于短节段、非常僵硬、纤维化的肛管直肠狭窄患者可能是一种可行且有效的治疗方式。
