结直肠吻合口狭窄的“上下”扩张
'Above and below' dilatation of anastomotic colorectal strictures.
作者信息
Kelly M J
机构信息
Leicester General Hospital.
出版信息
Ann R Coll Surg Engl. 1996 Jul;78(4):384-7.
Abstract
A new technique is described for dilating anastomotic colorectal strictures lying distal to a protecting stoma where attempts at instrumentation from below have failed. The new manoeuvre consists of approaching the stricture simultaneously from above, using a fibrescope inserted through the stoma, and from below using a rigid sigmoidoscope. A guidewire is passed from above through the stricture and retrieved by the lower operator. Dilators can then be railroaded through it. Six successful cases are reported.
摘要
本文描述了一种新技术，用于扩张位于保护性造口远端的结直肠吻合口狭窄，在此之前从下方进行器械操作的尝试均告失败。这项新操作包括同时从上方和下方接近狭窄部位，上方通过经造口插入的纤维结肠镜，下方使用硬式乙状结肠镜。一根导丝从上方穿过狭窄部位，由下方的操作人员取出。然后扩张器可沿导丝通过狭窄部位。本文报告了6例成功病例。
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