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Balloon dilatation of anastomotic intestinal stenoses: long-term results

D Fregonese1, G Di Falco, F Di Toma

  • 1Department of Surgery, Regional General Hospital of Treviso, Italy.

Endoscopy
|November 1, 1990
PubMed

Insights

Balloon dilatation is a safe and effective treatment for anastomotic intestinal strictures, including esophageal and colon stenosis. This minimally invasive procedure offers high success rates with minimal complications and relapses.

Area of Science:

  • Gastroenterology
  • Surgical Innovation

Background:

  • Anastomotic intestinal strictures can significantly impact patient quality of life.
  • Traditional treatments may be invasive or less effective for certain stricture types.

Purpose of the Study:

  • To evaluate the safety and efficacy of balloon dilatation for treating anastomotic intestinal strictures.
  • To assess long-term outcomes and complication rates associated with the procedure.

Main Methods:

  • A consecutive series of 59 patients with anastomotic intestinal strictures (esophageal and colon) were treated.
  • Balloon catheter placement was guided by fluoroscopic and endoscopic control.
  • Patients underwent one to five dilatation sessions, with outcomes assessed clinically.

Main Results:

  • No initial treatment failures were observed in 59 patients.
  • Stricture relapse occurred in 10.1% of cases within 2-5 months, with repeat dilatation achieving 100% success.
  • All patients with esophageal strictures could consume solid food post-dilatation, with a mean follow-up of 26.5 months.

Conclusions:

  • Balloon dilatation is a safe and reliable method for treating anastomotic intestinal strictures.
  • The technique is particularly effective for stenoses with small diameters and tortuous anatomy.
  • The procedure demonstrates a low complication rate and favorable long-term outcomes.

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