Anastomotic Stenosis after Colorectal Anterior Resection

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  • Shinohara Tetsuo
    Department of Gastrointestinal Surgery, Fukuoka University School of Medicine
  • Maekawa Takahumi
    Department of Gastrointestinal Surgery, Fukuoka University School of Medicine
  • Mikami Koji
    Department of Gastrointestinal Surgery, Fukuoka University School of Medicine
  • Maki Kenji
    Department of Gastrointestinal Surgery, Fukuoka University School of Medicine
  • Yamauchi Yasushi
    Department of Gastrointestinal Surgery, Fukuoka University School of Medicine
  • Hoshino Seiichirou
    Department of Gastrointestinal Surgery, Fukuoka University School of Medicine
  • Yamashita Yuichi
    Department of Gastrointestinal Surgery, Fukuoka University School of Medicine

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  • 直腸前方切除後の吻合部狭窄の検討

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PURPOSE: The purpose of this study was to consider anastomotic stenosis after rectal anterior resection.<br> METHOD: Thirty patients who suffered anastomotic stenosis among 266 patients who underwent rectal anterior resection using a circular stapling device were compared in terms of the level of anastomosis, method of diagnosis, and treatment.<br> RESULT: Anastomotic stenosis developed in 30 patients (11.3%). The finger dilatation technique revealed many recurrences (63.2%). The term from primary operation to stenosis was 202.1 days. The distance from the anus was 6.2cm. The size of the anastomotic stenosis was 11.0mm.<br> CONCLUSION: The finger dilatation in anastomotic stenosis after using the circular stapling device is easy, but there are many recurrences. In addition, for treatment, it seemed that STENO-CUTTER and dilatation by a balloon produced an adequate effect.<br>

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