Autor: |
Selçuk Kaya, Yunus Emre Altuntaş, Önder Altın, Ahmet Şeker, Hasan Ediz Sıkar, Kenan Çetin, Nejdet Bildik, Hasan Fehmi Küçük |
Jazyk: |
angličtina |
Rok vydání: |
2018 |
Předmět: |
|
Zdroj: |
Southern Clinics of Istanbul Eurasia, Vol 29, Iss 2, Pp 105-109 (2018) |
Druh dokumentu: |
article |
ISSN: |
2587-0998 |
DOI: |
10.14744/scie.2018.41636 |
Popis: |
INTRODUCTION[|]The aim of this study was to examine and describe the efficiency of endoscopic balloon and bougie dilatation techniques applied to anastomotic strictures developed in patients who underwent a low anterior resection (LAR) and ileostomy.[¤]METHODS[|]A total of 167 patients underwent an LAR with an ileostomy due to rectal cancer between July 2014 and December 2017. Nineteen (%11.4) cases with anastomosis stricture were retrospectively evaluated and included in the study. Patients were classified according to the dilation time. Group 1 patients received dilatation within the first 3 months postoperatively, and Group 2 patients received dilatation after 3 months. Demographic data, the dilatation technique, the number of dilatation applications, the level of the stricture, the success rate, and the stoma closure time were evaluated.[¤]RESULTS[|]In Group 1, the mean number of dilatation procedures was 1.8 (range: 1–3), whereas in Group 2, the mean was 3.8 (range: 2–5). The success rate was 100% in Group 1 and 66.6% in Group 2. There was a statistically significant difference between the groups in the requirement for dilatation and the success rate (p=0.022, p=0.028, respectively).[¤]DISCUSSION AND CONCLUSION[|]It was concluded that dilatation techniques are most successful when applied within 3 months after surgery in cases with stenotic anastomoses. The risk of strictures and the number of repeated dilatations was lower and the success rate was significantly higher in these cases.[¤] |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
|