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Occluded coloanal anastomosis: transrectal US-guided balloon dilation
D J Eschelman1, A A Alexander, S D Goldstein
1Division of Cardiovascular/Interventional Radiology, Jefferson Medical College, Thomas Jefferson University Hospital, Philadelphia, PA 19107.
Radiology
|November 1, 1993
Summary
Transrectal ultrasound guides needle passage for blocked coloanal anastomoses, enabling successful balloon dilation for postoperative strictures. This technique overcomes guide wire limitations in occluded lumens.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Medical Imaging
Background:
- Postoperative strictures of the colon and rectum are often treated with balloon dilation.
- Guide wire passage can be challenging or impossible in occluded lumens, limiting dilation feasibility.
Observation:
- A novel technique utilizing transrectal ultrasound guidance was employed.
- This method aimed to facilitate needle passage across an occlusive web at the coloanal anastomosis.
Findings:
- Transrectal ultrasound successfully guided a needle across the obstructive web.
- This enabled subsequent guide wire placement and successful balloon dilation of the stricture.
Implications:
- This ultrasound-guided approach offers a viable solution for technically difficult balloon dilations.
- It expands treatment options for patients with postoperative coloanal anastomotic strictures.
- This technique may improve outcomes for complex stricture management.