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Transanal stricturoplasty: a minimally-invasive approach to a challenging problem
Despite the advances in the surgical techniques and technology in colorectal surgery, the development of rectal anastomotic stricture is a common problem. In some case series, the incidence is estimated to be as high as 30%. Some of the known risk factors for developing a stricture include anastomot...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439508/ https://www.ncbi.nlm.nih.gov/pubmed/30949337 http://dx.doi.org/10.1093/jscr/rjz087 |
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author | Kawak, Samer Turaihi, Hassan Bjordahl, Paul |
author_facet | Kawak, Samer Turaihi, Hassan Bjordahl, Paul |
author_sort | Kawak, Samer |
collection | PubMed |
description | Despite the advances in the surgical techniques and technology in colorectal surgery, the development of rectal anastomotic stricture is a common problem. In some case series, the incidence is estimated to be as high as 30%. Some of the known risk factors for developing a stricture include anastomotic leak and ischemia. Treatment options range from frequent dilations using digital rectal examinations and dilators if the stricture is low or endoscopic balloon dilations for higher strictures. Unfortunately, multiple sessions are typically required to achieve adequate results. We present a case report of a benign anastomotic stricture and describe a novel approach, transanal stricturoplasty, for this challenging problem. |
format | Online Article Text |
id | pubmed-6439508 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-64395082019-04-04 Transanal stricturoplasty: a minimally-invasive approach to a challenging problem Kawak, Samer Turaihi, Hassan Bjordahl, Paul J Surg Case Rep Case Report Despite the advances in the surgical techniques and technology in colorectal surgery, the development of rectal anastomotic stricture is a common problem. In some case series, the incidence is estimated to be as high as 30%. Some of the known risk factors for developing a stricture include anastomotic leak and ischemia. Treatment options range from frequent dilations using digital rectal examinations and dilators if the stricture is low or endoscopic balloon dilations for higher strictures. Unfortunately, multiple sessions are typically required to achieve adequate results. We present a case report of a benign anastomotic stricture and describe a novel approach, transanal stricturoplasty, for this challenging problem. Oxford University Press 2019-03-29 /pmc/articles/PMC6439508/ /pubmed/30949337 http://dx.doi.org/10.1093/jscr/rjz087 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2019. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Kawak, Samer Turaihi, Hassan Bjordahl, Paul Transanal stricturoplasty: a minimally-invasive approach to a challenging problem |
title | Transanal stricturoplasty: a minimally-invasive approach to a challenging problem |
title_full | Transanal stricturoplasty: a minimally-invasive approach to a challenging problem |
title_fullStr | Transanal stricturoplasty: a minimally-invasive approach to a challenging problem |
title_full_unstemmed | Transanal stricturoplasty: a minimally-invasive approach to a challenging problem |
title_short | Transanal stricturoplasty: a minimally-invasive approach to a challenging problem |
title_sort | transanal stricturoplasty: a minimally-invasive approach to a challenging problem |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439508/ https://www.ncbi.nlm.nih.gov/pubmed/30949337 http://dx.doi.org/10.1093/jscr/rjz087 |
work_keys_str_mv | AT kawaksamer transanalstricturoplastyaminimallyinvasiveapproachtoachallengingproblem AT turaihihassan transanalstricturoplastyaminimallyinvasiveapproachtoachallengingproblem AT bjordahlpaul transanalstricturoplastyaminimallyinvasiveapproachtoachallengingproblem |