Endoscopic Treatment of the Large Intestine Endoscopic Balloon Dilatation for Treating Postoperative Anastomotic Strictures in the Large Intestine

• OKA Hisashi

  <I>Department of Surgery, Yokohama Shinmidori General Hospital</I>

• HATAKEYAMA Toshiyuki

  <I>Department of Surgery, Yokohama Shinmidori General Hospital</I>

• MACHIDA Hiroshi

  <I>Department of Surgery, Yokohama Shinmidori General Hospital</I>

• MATSUMIYA Akihiko

  <I>Department of Surgery, Yokohama Shinmidori General Hospital</I>

• ITSUNO Hisanori

  <I>Department of Surgery, Yokohama Shinmidori General Hospital</I>

• NAKAYOSHI Akio

  <I>Department of Surgery, Yokohama Shinmidori General Hospital</I>

• KAMINAGA Norihiro

  <I>Department of Gastroenterology, Showa University School of Medicine, Fujigaoka Hospital</I>

• URAKAMI Takayuki

  <I>Department of Gastroenterology, Showa University School of Medicine, Fujigaoka Hospital</I>

• ENDO Yutaka

  <I>Department of Gastroenterology, Showa University School of Medicine, Fujigaoka Hospital</I>

• FUJITA Rikiya

  <I>Department of Gastroenterology, Showa University School of Medicine, Fujigaoka Hospital</I>

抄録

Endoscopic surgery in the large intestine has traditionally been used in treatments such as hemostasis and polypectomy. Since electronic endoscopes (evolved from the traditional endoscope) have become widespread, they have been applied to various types of treatments such as dilatation of a stricture, fixing a stent (a pipe placed to maintain patency of intestinal obstruction caused by cancer), and retrograde ileus tube insertion (anal insertion of a long nasogastric tube) . Endoscopic balloon dilatation is a method for benign gastrointestinal strictures which dilates the obstruction site by inflating a balloon. It was used for the first time in 1980 on an advanced esophageal stricture. In the colon, endoscopic balloon dilatation is used on strictures due to Crohn's disease. We apply endoscopic balloon dilatation to strictures that occur after an intestinal anastomosis. This paper examines 6 clinical cases of endoscopic balloon dilatation for postoperative stricture that we performed in our hospital from 1995 to 1998. The period of time from the operation to the dilatation ranged from two to six months. A colon balloon catheter (Microvasive's Regiflex TTS) was used with a pressure of 20-25 PSI. The time required for dilatation was approximately five minutes, the longest being ten minutes. All of the stricture sites were resolved with one dilatation. No complications such as bleeding or perforation were observed, and there was no stricture recurrence. Strictures due to mechanical anastomosis, unlike those due to the failure of the sutures, have a characteristically short membranous stricture. Thus, the use of endoscopic balloon dilatation is the most desirable treatment as there is reduced risk of complications such as bleeding or intestinal rupture.

収録刊行物

• Ｔｈｅ　Ｓｈｏｗａ　Ｕｎｉｖｅｒｓｉｔｙ　Ｊｏｕｒｎａｌ　ｏｆ　Ｍｅｄｉｃａｌ　Ｓｃｉｅｎｃｅｓ

  Ｔｈｅ　Ｓｈｏｗａ　Ｕｎｉｖｅｒｓｉｔｙ　Ｊｏｕｒｎａｌ　ｏｆ　Ｍｅｄｉｃａｌ　Ｓｃｉｅｎｃｅｓ 16 (3), 201-207, 2004

  昭和大学学士会

キーワード

• anastomotic stricture
• dilatation
• mechanical anastomosis

詳細情報

• CRID: 1390001204372701952
• NII論文ID: 130004841489
• NII論文ID: 80017468798
• DOI: 10.15369/sujms1989.16.201
• ISSN: 21850968
• ISSN: 09156380
• ISSN: http://id.crossref.org/issn/09156380
• Web Site: https://www.jstage.jst.go.jp/article/sujms1989/16/3/16_3_201/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2006193211
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可