Clin Endosc.  2013 Sep;46(5):472-475.

Endoscopic Management of Refractory Benign Colorectal Strictures

• Kwon YH
• Jeon SW
• Lee YK

Abstract

In colonoscopic study, benign colorectal strictures with or without symptomatic pain are not rarely encountered. Benign colorectal stricture can be caused by a number of problems, such as anastomotic stricture after surgery, inflammatory bowel disease, postendoscopic submucosal dissection, diverticular disease, ischemic colitis, and so on. There are various modalities for the management of benign colorectal stricture. Endoscopic balloon dilatation is generally considered as the primary treatment for benign colorectal stricture. In refractory benign colorectal strictures, several treatment sessions of balloon dilatation are needed for successful dilatation. The self-expandable metal stent and many combined techniques are performed at present. However, there is no specific algorithmic modality for refractory benign colorectal strictures.

Keyword

Colorectal surgery; Dilatation; Endoscopy, gastrointestinal

MeSH Terms

Colitis, Ischemic
Colorectal Surgery
Constriction, Pathologic
Dilatation
Endoscopy, Gastrointestinal
Inflammatory Bowel Diseases
Stents

Figure

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  Fig. 1 Clinical Management of benign colorectal strictures. Endoscopic balloon dilatation is generally considered as the primary treatment for benign colorectal stricture. In refractory cases, several treatment sessions of balloon dilatation are usually needed. Self-expandable metal stent and many other combined techniques are under evaluation for refractory benign conditions.

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