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首页> 外文期刊>ANZ journal of surgery >Endoscopic laser stricturotomy and balloon dilatation for benign colorectal strictures.
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Endoscopic laser stricturotomy and balloon dilatation for benign colorectal strictures.

机译：内镜激光胆囊切开术和球囊扩张治疗良性大肠狭窄。

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BACKGROUND: A fibrous stricture may develop at the site of a colorectal anastomosis or as a complication following abdominal aortic surgery. A major resection may be necessary if the stricture cannot be released. The authors' experience with endoscopic stricturotomy using neodymium:yttrium-aluminium-garnet laser, together with balloon dilatation, as a conservative method of treating such strictures, is reported here. METHODS: The case notes of all patients referred for laser treatment of benign distal large bowel strictures at Concord Hospital were reviewed. RESULTS: Ten patients had endoscopic laser treatment combined with endoscopic balloon dilatation between October 1991 and July 1999. An anastomotic stricture had developed in eight patients and two patients had a fibrous stricture of the upper rectum after abdominal aortic aneurysm surgery. Nine of the 10 patients had their stricture treated successfully without complication or recurrence (median follow up 82 months; range: 14-104 months). The remaining patient re-presented with a large bowel obstruction at the site of his stricture 6 years following initial treatment. CONCLUSION: A protocol combining laser stricturotomy with balloon dilatation appears to be a safe and effective treatment of such strictures.
机译：背景：纤维性狭窄可能发生在大肠吻合部位或作为腹主动脉手术后的并发症。如果狭窄无法解除，可能需要进行大范围切除。作者报道了使用钕：钇-铝-石榴石激光进行内窥镜狭窄切开术，并结合球囊扩张术作为治疗此类狭窄的保守方法。方法：对在康科德医院接受激光治疗良性远端大肠狭窄的所有患者的病例记录进行了回顾。结果：1991年10月至1999年7月，有10例患者接受了内镜激光治疗并结合了内镜球囊扩张术。8例患者发生了吻合口狭窄，其中2例患者在腹主动脉瘤手术后出现了上直肠纤维性狭窄。 10例患者中有9例成功治疗了狭窄，没有并发症或复发（中位随访82个月;范围：14-104个月）。最初治疗6年后，其余患者在其狭窄部位再次出现大肠梗阻。结论：将激光狭窄切开术与球囊扩张术相结合的方案似乎是一种安全有效的方法。

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