eISSN: 1897-4317
ISSN: 1895-5770
Gastroenterology Review/Przegląd Gastroenterologiczny
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2/2022
vol. 17
 
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abstract:
Letter to the Editor

Management of an early anastomotic stricture using the Seldinger technique

Dimitrios Kehagias
1
,
Francesk Mulita
1
,
Fotios Anagnostopoulos
2
,
Ioannis Kehagias
1

  1. Department of Surgery, General University Hospital of Patras, Patras, Greece
  2. Department of Interventional Radiology, General University Hospital of Patras, Patras, Greece
Gastroenterology Rev 2022; 17 (2): 169–172
Online publish date: 2021/07/19
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The most common cause of benign stenosis in the large intestine is the anastomotic stricture, which occurs in 5–20% after colorectal resection [1, 2]. The term anastomotic stricture refers to the narrowing of the intestine, which results in clinical symptoms of complete or partial intestinal obstruction [3]. The predisposing factors for this serious complication are not clearly understood, but anastomotic leakage, preoperative radiation, and ischaemia due to excessive tension in the anastomosis correlate with increased incidence [4]. Anastomotic strictures often concern interventions in the middle or low rectum, and they usually self-improve over time [5]. Nevertheless, persistent strictures will require intervention such as endoscopic- or fluoroscopy-guided dilatation, stenting, reoperation, or incision of the stricture with diathermy during endoscopy [6]. Anastomotic strictures in the early postoperative period are rarely reported in the bibliography, and they are usually observed at a median 5–12 months following surgery [7]. Early anastomotic stricture is defined as a stricture that requires intervention within 6 weeks of gastrointestinal anastomosis creation [8]. We present the case of a female patient who developed an anastomotic stricture following right colectomy for colon cancer and on the 14th postoperative day. After a failed endoscopy, she underwent anastomotic dilatation under fluoroscopic guidance with alleviation of symptoms.
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