Laparoskopik low anterior rezeksiyon sonrası oluşan anastomoz darlığında balon dilatasyonu
Kolorektal anastomozlarda %5,8 ile %20 oranında benign striktür görülür. Her ne kadar tedavide pek çok endoskopik girişim önerilmekteyse de, balon dilatasyonu düşünülmesi gereken ilk seçenektir. Cerrahi, endoskopik yaklaşımlara yanıtsız olgularda ya da komplikasyonlarda düşünülmekle birlikte önemli mortalite ve morbidite oranlarına sahiptir. 52 yaşında bayan hasta laparoskopi yardımlı low anterior rezeksiyon ve stapler anastomoz sonrası 6. ayda ciddi anastomoz darlığı nedeniyle başvurdu. Akalazya balonu kullanılarak yapılan iki seans endoskopik dilatasyonla anastomoz dilatasyonu başarıyla tamamlandı.
The balloon dilatation of anastomotic stricture following laparoscopic low anterior resection
Benign strictures at the colorectal anastomosis occur with a frequency of 5.8% to 20%. Although several endoscopic interventions are recommended for the treatment, balloon dilatation is the first choice to be considered. Surgery is reserved for the patients unresponsive to endoscopic modalities and complications of them, however, it carries significant mortality and morbidity rates. A 52-years old female patient presented with a severe anastomotic stricture 6 months after the laparoscopy assited low anterior resection and stapled anastomosis. Dilatation was successfully completed by using achalasia dilatation balloon after two sessions dilatation.
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