Document Detail


Novel treatment of intractable rectal strictures associated with anastomotic leakage using a stenosis-cutting device.
MedLine Citation:
PMID:  17518249     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Disruption of an anastomosis after a low anterior resection reconstructed by a double stapling technique is a relatively rare complication but leads to a severe anastomotic stricture. Furthermore, this type of stricture is usually resistant to conventional treatment. A previously developed type of staple cutter (STENO-CUTTER) was applied in order to evaluate the clinical effects for the treatment of severe rectal stricture associated with anastomotic leakage. The incidence of leakage was 11 out of 371 patients (3.0%). The incidence of subsequent stricture in the leakage group (54.5%) was significantly higher than that in the nonleakage group (6.7%; P < 0.0001). Six out of 11 patients with leakage had anastomotic stricture with the distressing symptoms of frequent bowel movements and ileus. Excellent dilation was performed in all of the six strictures using the STENO-CUTTER. Because of the excellent efficacy, in addition to safe and easy use, this treatment is highly recommended for stricture of the rectum associated with anastomotic leakage.
Authors:
Shinya Shimada; Yasushi Yagi; Kenichiro Yamamoto; Masakazu Matsuda; Hideo Baba
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International surgery     Volume:  92     ISSN:  0020-8868     ISO Abbreviation:  Int Surg     Publication Date:    2007 Mar-Apr
Date Detail:
Created Date:  2007-05-23     Completed Date:  2007-06-19     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0043524     Medline TA:  Int Surg     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  82-8     Citation Subset:  IM    
Affiliation:
Department of Surgery, Kumamoto City Hospital, Kumamoto, Japan. shimadas443@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adenocarcinoma / surgery
Aged
Anastomosis, Surgical / adverse effects*
Balloon Dilatation / instrumentation,  methods
Cicatrix / etiology,  surgery
Colon / surgery
Constriction, Pathologic / etiology,  surgery
Defecation / physiology
Female
Follow-Up Studies
Humans
Ileus / etiology
Male
Middle Aged
Postoperative Complications / surgery*
Proctoscopy
Rectal Diseases / etiology,  surgery*
Rectal Neoplasms / surgery
Rectum / surgery
Surgical Stapling / adverse effects*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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