EurekaMag.com logo
+ Site Statistics
References:
53,869,633
Abstracts:
29,686,251
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on LinkedInFollow on LinkedIn

+ Translate

Balloon dilatation for anastomatic stricture after upper gastro intestinal surgery



Balloon dilatation for anastomatic stricture after upper gastro intestinal surgery



World Journal of Surgery 16(3): 541-544



We report our study on the correlation between the types of anastomosis and the incidence of anastomotic stricture formation among patients who had an anastomosis between the esophagus and stomach following subtotal esophagectomy for esophageal cancer, and esophagojejunostomy following proximal or total gastrectomy for gastric cancer in the past 17 years. Among 283 patients undergoing esophagojejunostomy, 7 cases of stricture (excluding 3 cases of cancer recurrence) were observed (conventional anastomosis 1.8%; stapling anastomosis 4.6%). There were 17 cases of stricture among 56 patients who had anastomosis between the eosphagus and stomach following subtotal esophagectomy (conventional anastomosis 28.6%; stapling anastomosis 50.0%). One month or more after the operation, the diameter of the esophagojejunostomy was estimated using a barium study. The mean diameter of the anastomosis using the stapling method was 11.9 .+-. 2.9 mm, whereas the mean diameter of serosubmucosal single layer hand-sewn anastomosis (Jourdan's) was 19.8 .+-. 2.2 mm, and that of vertical mattress hand-sewn anastomosis was 19.0 .+-. 2.0 mm. Balloon dilatation was used in 29 patients with anastomotic stricture of the upper gastro-intestinal tract (esophageal cancer, 19 patients, gastric cancer, 10 patients). With repeated dilatation, we were able to obtain satisfactory efficacy for benign strictures and there were no severe complications. We believe that balloon dilatation is an easy, safe and effective therapy for anastomotic stricture of the upper gastro-intestinal tract.

(PDF emailed within 1 workday: $29.90)

Accession: 007049680

Download citation: RISBibTeXText

PMID: 1589994



Related references

Endoscopic balloon dilation for post operative stricture of upper gastro intestinal tract. Gastroenterological Endoscopy 26(2): 213-223, 1984

Balloon dilatation for intestinal stricture in Crohn's disease. Nihon Rinsho. Japanese Journal of Clinical Medicine 70 Suppl 1: 383-386, 2012

Salvage surgery after failure of endoscopic balloon dilatation versus surgery first for ileocolonic anastomotic stricture due to recurrent Crohn's disease. British Journal of Surgery 102(11): 1418-25; Discussion 1425, 2015

Management of pyloric stricture in children: endoscopic balloon dilatation and surgery. Surgical Endoscopy 26(7): 1903-1908, 2012

Endoscopic balloon dilatation for pharyngo-upper esophageal stricture after treatment of head and neck cancer. Digestive Endoscopy 27(3): 310-316, 2015

Porcine small intestinal submucosa augmentation urethroplasty and balloon dilatation of a urethral stricture secondary to inadvertent prostatectomy in a dog. Journal of the American Animal Hospital Association 46(5): 358-365, 2010

Efficacy of endoscopic balloon dilatation, stenting and surgery in treating corrosive esophageal stricture of 31 children. Zhonghua Er Ke Za Zhi 52(5): 333-338, 2015

Patients with previous upper gastro intestinal surgery gastro intestinal hormonal responses to iso caloric meals containing intact or hydrolyzed protein. Gastroenterology 82(5 PART 2): 1181, 1982

Successful dilatation of pyloric stricture resistant to balloon dilatation with electrocautery using a sphinctertome. Journal of Clinical Gastroenterology 23(3): 239-241, 1996

Balloon dilatation of postoperative small bowel anastomotic stricture in an infant with apple peel intestinal atresia after serial transverse enteroplasty and jejunoileal anastomosis. Journal of Pediatric Surgery 45(12): E25-E28, 2011

Conservative management of peptic stricture in the elderly a comparative study of eder puestow dilatation savary bougienage and endoscopic balloon dilatation. Gastroenterology 92(5 PART 2): 1574, 1987

Effect of stent placement, balloon or cutting balloon dilatation on stricture formation after caustic esophageal burn in rats. European Journal of Pediatric Surgery 21(4): 258-262, 2012

A critical look at the accuracy of endoscopy and double contrast radiography of the upper gastro intestinal tract in patients with substantial upper gastro intestinal hemorrhage. Radiology 135(2): 305-308, 1980

Comparison of endoscopy and upper gastro intestinal series in diagnostic accuracy and therapy in acute upper gastro intestinal hemorrhage. Gastroenterology 68(4 PART 2): 1034, 1975