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磁压缩技术治疗直肠癌术后吻合口狭窄：一例报告

Treatment of anastomotic stricture after rectal cancer operation by magnetic compression technique: A case report.

作者信息

Zhang Miao-Miao, Sha Huan-Chen, Xue Hai-Rong, Qin Yuan-Fa, Dong Fang-Fang, Zhang Li, Lyu Yi, Yan Xiao-Peng

机构信息

Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi Province, China.

Shaanxi Provincial Key Laboratory of Magnetic Medicine, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi Province, China.

出版信息

World J Gastrointest Surg. 2024 May 27;16(5):1443-1448. doi: 10.4240/wjgs.v16.i5.1443.

DOI:10.4240/wjgs.v16.i5.1443
PMID:38817285
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11135304/
Abstract

BACKGROUND

The treatment of postoperative anastomotic stenosis (AS) after resection of colorectal cancer is challenging. Endoscopic balloon dilation is used to treat stenosis in such cases, but some patients do not show improvement even after multiple balloon dilations. Magnetic compression technique (MCT) has been used for gastrointestinal anastomosis, but its use for the treatment of postoperative AS after colorectal cancer surgery has rarely been reported.

CASE SUMMARY

We report a 72-year-old man who underwent radical resection of colorectal cancer and ileostomy one year ago. An ileostomy closure was prepared six months ago, but colonoscopy revealed a narrowing of the rectal anastomosis. Endoscopic balloon dilation was performed three times, but colonoscopy showed no significant improvement in stenosis. The AS was successfully treated using MCT.

CONCLUSION

MCT is a minimally invasive method that can be used for the treatment of postoperative AS after colorectal cancer surgery.

摘要

背景

结直肠癌切除术后吻合口狭窄（AS）的治疗具有挑战性。内镜下球囊扩张术用于治疗此类狭窄，但一些患者即使经过多次球囊扩张仍无改善。磁压缩技术（MCT）已用于胃肠道吻合，但它用于结直肠癌手术后AS的治疗鲜有报道。

病例摘要

我们报告一名72岁男性，他于一年前接受了根治性结直肠癌切除术和回肠造口术。六个月前准备关闭回肠造口，但结肠镜检查发现直肠吻合口狭窄。进行了三次内镜下球囊扩张，但结肠镜检查显示狭窄无明显改善。使用MCT成功治疗了AS。

结论

MCT是一种微创方法，可用于治疗结直肠癌手术后的AS。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbbc/11135304/bd72161f3ac4/WJGS-16-1443-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbbc/11135304/aec8428d68e0/WJGS-16-1443-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbbc/11135304/1f7a22fb2309/WJGS-16-1443-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbbc/11135304/bd72161f3ac4/WJGS-16-1443-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbbc/11135304/aec8428d68e0/WJGS-16-1443-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbbc/11135304/1f7a22fb2309/WJGS-16-1443-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbbc/11135304/bd72161f3ac4/WJGS-16-1443-g003.jpg

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Magnetic Compression Anastomosis of Benign Short-Segment Ureteral Obstruction.良性短节段输尿管梗阻的磁压迫吻合术。
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