+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Long-term results of percutaneous balloon dilation for ureterointestinal anastomotic strictures



Long-term results of percutaneous balloon dilation for ureterointestinal anastomotic strictures



International Journal of Urology 9(5): 241-246



We determined the long-term result of our percutaneous antegrade balloon dilation technique performed for adult patients with ureterointestinal anastomotic stricture between 1992 and 1997. Balloon dilation was performed on 13 ureterointestinal anastomotic structures in 10 patients. After a nephrostomy was performed, a guide wire was introduced into the intestinal loop through the stenotic portion under direct observation using a ureterorenoscope. Dilation was performed using the Olbert balloon dilator (30-Fr) inserted along a guide wire into the stenotic portion. A 20-Fr or 22-Fr multihole catheter was left for approximately 6 weeks. No major complications were encountered during or after these procedures. After removal of the indwelling catheters, the progress of each patient was followed fo rat least 14 months. Additional dilation was necessary in three of 10 patients for the recurrent stricture. The balloon dilation was ineffective in two patients with a long stenosis of the ureter or a previous history of radiation therapy for uterine cancer. Eight of 10 patients showed satisfactory outcomes during the mean follow-up period of 47.1 months. Based on these results, we believe that the balloon dilation could be the first line of treatment for strictures of uro-digestive anastomosis, except for some patients with a long stenosis or a previous history of intrapelvic radiation.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 046572524

Download citation: RISBibTeXText

PMID: 12189603

DOI: 10.1046/j.1442-2042.2002.00459_1.x


Related references

Percutaneous transrenal electro-incision of ureterointestinal anastomotic strictures: Long-term results and comparison of fluoroscopic and endoscopic guidance. Journal of Urology 155(5): 1575-1578, 1996

Fluoroscopically guided balloon dilation of anastomotic strictures after total gastrectomy: long-term results. Ajr. American Journal of Roentgenology 188(3): 647-651, 2007

Long-term results of percutaneous biliary balloon dilation treatment for benign hepaticojejunostomy strictures: are repeated balloon dilations necessary?. Journal of Vascular and Interventional Radiology 23(10): 1347-55; Quiz 1357, 2013

Balloon dilation of anastomotic strictures secondary to surgical repair of esophageal atresia in a pediatric population: long-term results. Journal of Vascular and Interventional Radiology 17(8): 1327-1333, 2006

Benign anastomotic strictures after esophagectomy: long-term effectiveness of balloon dilation and factors affecting recurrence in 155 patients. Ajr. American Journal of Roentgenology 198(5): 1208-1213, 2012

Percutaneous balloon dilatation and long-term drainage as treatment of anastomotic and nonanastomotic benign biliary strictures. Cardiovascular and Interventional Radiology 37(6): 1559-1567, 2015

Balloon catheter dilation of ureteroenteric strictures: long-term results. Radiology 168(2): 385-387, 1988

Long-term results of balloon dilation of benign bile duct strictures. Acta Radiologica 44(2): 147-150, 2003

Anastomotic strictures of the upper gastrointestinal tract: results of balloon dilation. Radiology 167(1): 45-50, 1988

Long-term results of endoscopic balloon dilation for treatment of colorectal anastomotic stenosis. Surgical Endoscopy 30(10): 4432-4437, 2017

Endoureterotomy by intraluminal invagination for nonmalignant ureterointestinal anastomotic strictures: description of a new surgical technique and long-term followup. Journal of Urology 174(5): 1851-1856, 2005

Percutaneous Biliary Balloon Dilation: Impact of an Institutional Three-Session Protocol on Patients with Benign Anastomotic Strictures of Hepatojejunostomy. Digestive Surgery 35(5): 397-405, 2017

Radiologically guided balloon dilation of gastrointestinal strictures. Part II. Results of long-term follow-up. Radiology 165(1): 41-43, 1987

Percutaneous transhepatic balloon dilation of biliary-enteric anastomotic strictures after surgical repair of iatrogenic bile duct injuries. Plos One 7(10): E46478, 2013

Treatment of benign ureterointestinal anastomotic strictures with permanent ureteral Wallstent after Camey and Wallace urinary diversion: long-term follow-up. Journal of Endourology 15(6): 575-580, 2001