Choy Alexa M, Pomenti Sydney, Katzka David A, Shen Bo
Department of Medicine, Division of Digestive and Liver Diseases, Columbia University Irving Medical Center-New York Presbyterian Hospital, New York, NY.
Center for Inflammatory Bowel Diseases and the Global Integrated Center for Colorectal Surgery and IBD Interventional Endoscopy, Columbia University Medical Center-New York Presbyterian Hospital, New York, NY.
ACG Case Rep J. 2024 Nov 20;11(11):e01555. doi: 10.14309/crj.0000000000001555. eCollection 2024 Nov.
Stricture formation is a common complication after restorative proctocolectomy and Kock pouch surgery. Endoluminal functional lumen imaging probe (EndoFLIP) is a balloon catheter device that uses impedance planimetry to provide luminal pressure and dimension measurements. This case describes the first use of EndoFLIP to quantify the distensibility and diameter of a Kock pouch stricture before and after endoscopic balloon dilation and needle knife stricturotomy. EndoFLIP may be useful to more accurately define and quantify the technical success of endoscopic treatment of pouch strictures.
狭窄形成是保留直肠结肠切除术和Kock储袋手术后的常见并发症。腔内功能腔成像探头(EndoFLIP)是一种球囊导管装置,它使用阻抗平面测量法来提供腔内压力和尺寸测量。本病例描述了首次使用EndoFLIP来量化内镜球囊扩张和针刀狭窄切开术前和术后Kock储袋狭窄的扩张性和直径。EndoFLIP可能有助于更准确地定义和量化储袋狭窄内镜治疗的技术成功率。