İsmail DEMİRYILMAZ, İsmayil YILMAZ, Kemal PEKER

Mekanik intestinal obstrüksiyona neden olan kolorektal anostomoz darlığnın endoskopik balon dilatasyonla tedavisi

İntestinal obstrüksiyon, intestinal içeriğin gastrointestinal sistem içinde distale doğru olan geçişinin, parsiyel ya da tam olarak engellenmesidir. İntestinal obstrüksiyon, acil karın ameliyatlarının önemli nedenlerinden biridir; uygun şekilde tedavi edilmediğinde yüksek oranda morbidite ve mortaliteye neden olabilmektedir. Günümüzde acil kolonoskopi, özellikle kolon kaynaklı akut mekanik intestinal obstrüksiyon vakalarının tanı ve tedavilerinde kullanılmaktadır. Biz burada revizyon cerrahisi sonrası anastomoz darlığı gelişen ve edoskopik dilatasyon yöntemi ile tedavi edilen bir vakayı taktim ettik. Anastomoz darlıklarında endoskopik dilatasyon, daha az invaziv, başarı şansı yüksek, komplikasyon oranları düşük ve tekrarlanabilir bir yöntemdir.

Anahtar Kelimeler:

Mekanik intestinal obstrüksiyon, anastomoz darlığı, balon dilatasyon

Endoscopic balloon dilatation for the treatment of mechanical intestinal obstruction secondary to colorectal anastomotic stenosis

Intestinal obstruction is the partial or total blockage of the passage of the gastrointestinal system content. Intestinal obstruction is one of the main causes of emergent abdominal operations and the mortality and the morbidity of the condition could be high if not treated properly. Today, emergency colonoscopy can offer diagnosis and treatment for particularly acute mechanical intestinal obstruction in patients with colonic-level. Here, we presented a case of colonic stricture, which was developed due to an anatomic revision surgery, and treated with endoscopic dilatation. Anastomotic strictures endoscopic balloon dilatation of the quick, minimally invasive, high success rate, reproducibility and low complications application.

Keywords:

Mechanical intestinal obstruction, anastomotic stricture, balloon dilation,

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