Anastomotic strictures of the upper gastrointestinal tract: results of XXXX .

@entity1 @entity384
Enteroenteric anastomotic strictures of the upper gastrointestinal tract are common and require treatment if significant obstruction occurs. The authors performed 44 fluoroscopically guided balloon dilations in 19 @entity1 with symptomatic anastomotic strictures. The anastomoses were esophagoesophageal (n = 5), esophagogastric (n = 8), esophagoileocolonic (n = 4), and gastrojejunal (n = 2). Nine @entity1 required only one @entity384 for stricture lysis and relief of clinical symptoms. Recurrent symptoms developed in the remaining ten @entity1 , who required two to eight dilations. Radiographically, stenoses made up 40%-90% of the anastomotic lumen before dilation (mean, 72%). Complete resolution of the stricture was achieved during the procedure in 24 instances. Residual stenosis in 18 instances varied from 7% to 45% (mean, 21%). Two complications, a mucosal tear and a perforation, were immediately recognized and successfully treated non-operatively. The authors conclude that fluoroscopically guided @entity384 has an important role in the treatment of anastomotic strictures of the upper gastrointestinal tract.
