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本文引用的文献

1
Recanalization of anastomotic occlusion following rectal cancer surgery using a rendezvous endoscopic technique with transillumination: A case report.直肠肿瘤手术后吻合口阻塞的会师内镜技术经皮透光再通治疗:一例报告。
World J Gastroenterol. 2024 Oct 7;30(37):4149-4155. doi: 10.3748/wjg.v30.i37.4149.
2
Endoscopic ultrasound-guided colo-colostomy for the treatment of benign complete occlusion of colonic anastomosis: a case series and description of technique.内镜超声引导下结肠-结肠造口术治疗结肠吻合口完全性良性梗阻:病例系列及技术描述。
Colorectal Dis. 2023 Aug;25(8):1708-1712. doi: 10.1111/codi.16649. Epub 2023 Jul 11.
3
EUS-guided management of anastomotic stricture: A case report.超声内镜引导下吻合口狭窄的处理:病例报告
Int J Surg Case Rep. 2023 May;106:108220. doi: 10.1016/j.ijscr.2023.108220. Epub 2023 Apr 15.
4
A Modified "Rendezvous" Technique for EUS-guided Recanalization of a Rectal Anastomotic Stricture without Fluoroscopy and Stenting.一种改良的“会师”技术,用于在不透视和支架置入的情况下经超声内镜引导直肠吻合口狭窄再通。
J Gastrointestin Liver Dis. 2021 Sep 21;30(3):404-406. doi: 10.15403/jgld-3792.
5
Endoscopic recanalization with an incision using a needle knife after identifying the oral-side lumen in complete anastomotic stenosis.
Dig Endosc. 2021 May;33(4):e85-e86. doi: 10.1111/den.13963. Epub 2021 Apr 3.
6
New Technique for Magnetic Compression Anastomosis Without Incision for Gastrointestinal Obstruction.无需切口的磁压迫吻合术治疗胃肠道梗阻的新技术。
J Am Coll Surg. 2021 Feb;232(2):170-177.e2. doi: 10.1016/j.jamcollsurg.2020.10.012. Epub 2020 Oct 22.
7
An endoscopic dilation method using the rendezvous approach for the treatment of severe anastomotic stenosis after rectal cancer surgery: a case report.一种采用会师法的内镜扩张术治疗直肠癌术后严重吻合口狭窄:病例报告
World J Surg Oncol. 2020 Nov 7;18(1):291. doi: 10.1186/s12957-020-02062-9.
8
Endoscopic diagnosis and treatment of complete anastomosis stenosis after colorectal resection without protective ileostomy: report of two cases and literature review.内镜诊断和治疗无保护性回肠造口术的结直肠切除术后完全吻合口狭窄:两例报告及文献复习。
J Int Med Res. 2020 Apr;48(4):300060520914833. doi: 10.1177/0300060520914833.
9
Recanalization of a complete coloanal anastomotic obstruction using a combined antegrade-retrograde rendezvous technique.采用顺行-逆行会师技术对完全性结肠肛管吻合口梗阻进行再通。
Endoscopy. 2020 Sep;52(9):E312-E314. doi: 10.1055/a-1104-5119. Epub 2020 Feb 27.
10
Combination of endoscopic incision and balloon dilation for treatment of a completely obstructed anastomotic stenosis following colorectal resection: A case report.内镜下切开联合球囊扩张治疗结直肠切除术后完全性吻合口狭窄:一例报告
Medicine (Baltimore). 2019 Jun;98(26):e16292. doi: 10.1097/MD.0000000000016292.

结直肠吻合口完全闭塞的内镜治疗:我们目前的进展如何?

Endoscopic management of complete colorectal anastomotic occlusion: Where do we stand?

作者信息

Tsagkidou Kyriaki, Argyriou Konstantinos, Kapsoritakis Andreas, Manolakis Anastasios

机构信息

Department of Gastroenterology, University Hospital of Larisa, Larisa 41100, Greece.

出版信息

World J Gastroenterol. 2025 Mar 7;31(9):103687. doi: 10.3748/wjg.v31.i9.103687.

DOI:10.3748/wjg.v31.i9.103687
PMID:40061593
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11886049/
Abstract

We recently read with interest the article by Chi published in the . In this article, the authors reported a novel technique for re-establishing luminal continuity in a completely occluded colorectal anastomosis involving two endoscopes, one for radial electrical incision and the other serving as a guide light. However, this technique can be applied only in selected cases. Given the absence of a standardized guideline-based algorithm for the management of complete anastomotic obstruction, by reviewing the available literature, we provide a brief overview of relevant endoscopic techniques while underlining their importance in the management of this postoperative complication to provide clinicians with the necessary knowledge to improve their daily practice.

摘要

我们最近饶有兴趣地阅读了Chi发表在《 》上的文章。在这篇文章中,作者报道了一种用于在完全闭塞的结直肠吻合术中重建管腔连续性的新技术,该技术涉及两个内窥镜,一个用于径向电切,另一个用作导向光。然而,这种技术仅适用于特定病例。鉴于目前缺乏基于标准化指南的完全吻合口梗阻管理算法,通过回顾现有文献,我们简要概述了相关的内镜技术,同时强调它们在处理这种术后并发症中的重要性,以便为临床医生提供必要的知识,以改进他们的日常实践。