Hunt T M, Kelly M J
Leicester General Hospital.
Ann R Coll Surg Engl. 1994 Mar;76(2):121-2.
Anastomotic strictures complicating colorectal anastomoses can be difficult to treat. Endoscopic transanal resection (ETAR) using cutting electrocautery has been described for benign and malignant polypoid rectal lesions, but is not a well-recognised method of treating anastomotic strictures. There are possible theoretical risks to limit the effectiveness of this method in stapled anastomoses. We report five patients with stapled colorectal anastomotic strictures all treated successfully without complication by ETAR, and recommend this treatment option.
结直肠吻合术后并发的吻合口狭窄可能难以治疗。使用切割电灼术的内镜经肛门切除术(ETAR)已被用于治疗良性和恶性息肉样直肠病变,但并非一种广为人知的治疗吻合口狭窄的方法。在吻合器吻合术中,存在一些可能限制该方法有效性的理论风险。我们报告了5例吻合器结直肠吻合口狭窄患者,均通过ETAR成功治疗且无并发症发生,并推荐这一治疗选择。