Comparative study of balloon and metal olive dilators for endoscopic management of benign anastomotic rectal strictures: clinical and cost-effectiveness outcomes
Autor: | E. Paraskevas, Dimitrios Dimitroulopoulos, D. Xinopoulos, Argyro Loukou, Dimitrios Korkolis, Dimitrios Kypreos, Andreas Scorilas, Konstantinos Mavridis, Stefanos P. Bassioukas |
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Rok vydání: | 2010 |
Předmět: |
Male
medicine.medical_specialty Cost effectiveness Cost-Benefit Analysis Rectum Constriction Pathologic Anastomosis Balloon Catheterization Direct Service Costs Cicatrix Postoperative Complications Recurrence Surgical Stapling medicine Humans Hospital Costs Aged Retrospective Studies Aged 80 and over medicine.diagnostic_test business.industry Anastomosis Surgical Colonoscopy Equipment Design Weather balloon Middle Aged medicine.disease Dilatation Surgery Endoscopy Hospitalization Personnel Hospital Stenosis medicine.anatomical_structure Female business Abdominal surgery Follow-Up Studies |
Zdroj: | Surgical endoscopy. 25(3) |
ISSN: | 1432-2218 |
Popis: | Postoperative anastomotic strictures frequently complicate colorectal resection. Currently, various endoscopic techniques are being employed in their management, but the establishment of an optimal therapeutic strategy is still pending. The purpose of our study is to compare through-the-scope (TTS) balloon dilators versus Eder–Puestow metal olive dilators in the treatment of postoperative benign rectal strictures, considering the clinical outcome and cost-effectiveness of each method. A total of 39 patients with benign anastomotic rectal stenosis were retrospectively studied. In group A, 15 patients underwent dilation with Eder–Puestow metal olives, while in group B 19 patients were treated by means of TTS balloon dilators. The technical and clinical success of dilation, complications, number of repeated sessions required, disease-free time intervals, and the overall cost of each procedure were evaluated. Dilations were technically successful in all patients. No major complications occurred in either group. The number of dilations needed, rate of stricture recurrence, and duration of stenosis-free time intervals were not statistically significantly different between the two groups. Both methods proved more effective in older patients, given the greater number of dilations required in younger patients of both groups and higher frequency of stricture relapse in younger balloon-dilated patients (median 64.00 years) compared with older ones (median 75.00 years) (p = 0.001). An indisputable advantage of the Eder–Puestow technique, compared with TTS balloon dilators, is the low cost of equipment (median 22.30 € compared with 680 €, respectively; p |
Databáze: | OpenAIRE |
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