Preliminary study of dilation treatment under the guidance of precise puncture assisted with double endoscopes for anastomotic atresia after colorectal cancer surgery (with video)
10.3760/cma.j.cn321463-20240627-00161
- VernacularTitle:双镜联合精准穿刺引导扩张治疗结直肠癌术后吻合口闭锁初探（含视频）
- Author:
Dongyang WANG
1
;
Ming CHEN
1
;
Hao ZHANG
1
;
Hao LI
1
;
Huizhuan ZHAI
1
;
Mingjuan SUN
1
;
Haipeng WANG
1
;
Zengjun LI
1
Author Information
1. 山东第一医科大学附属肿瘤医院 山东省肿瘤医院 山东省肿瘤防治研究院内镜科，济南 250117
- Publication Type:Journal Article
- Keywords:
Colorectal neoplasms;
Anastomosis;
Atresia;
Combination of double endoscopes;
Endoscopic treatment
- From:
Chinese Journal of Digestive Endoscopy
2025;42(2):148-150
- CountryChina
- Language:Chinese
-
Abstract:
To evaluate the feasibility and safety of dilation treatment under the guidance of precise puncture assisted with double endoscopes for anastomotic atresia after colorectal cancer surgery, 3 cases with anastomotic atresia after colorectal cancer surgery were treated precisely under endoscopy. The first colonoscopy was introduced through the terminal ileum stoma to anastomotic site, another endoscope was inserted through the anus to the anastomosis. Precise puncture of the contralateral intestinal cavity was done through light source positioning. The puncture needle was seen under the direct vision of endoscope, and then the guide wire was inserted. Anastomosis was dilated by the balloon through the guide wire. Endoscopic recanalization of anastomotic atresia was successfully completed in 3 patients. No complication occurred during the treatment with the mean operation time of 44.3 minutes. The ileal terminal stoma reduction surgery was performed 1-3 months after endoscopic treatment. Dilation treatment under the guidance of precise puncture assisted with double endoscopes for anastomotic atresia after colorectal cancer surgery is reliable with the advantages of short operation time, safety and convenience, and no need for X-ray assistance.
