(15) performed primary stent insertion since the possibility of rupture of fresh
anastomotic stricture could not be excluded.
(12) performed MMC injection with urethral dilatation for the treatment of recurrent vesicourethral
anastomotic stricture after radical prostatectomy and they did not notice any adverse effects.
Patients were followed for a mean period of 1 year post discharge, 7 patients developed
anastomotic stricture which was amenable to dilatation.
However, the true incidence of
anastomotic stricture formation in this series may be underappreciated for lack of surgical evidence in the rest of six patients.
Despite the elimination of esophagojejunostomy anastomosis leak after the first stenting procedure in that patient, a resistant
anastomotic stricture developed approximately 2 months later.
(23) Interestingly, Tiguret et al found no significant difference in the incidence of AUR if the catheter was removed at day 4 (3%) or later (3%) following RRP, but noticed better continence rate and less
anastomotic stricture rate with earlier removal of the catheter.
The most common etiology was caustic injury, with just 18% of the patients with
anastomotic stricture and only 2 adult patients with radiation stricture [14].
Anastomotic stricture after failed balloon-assisted ERP is a candidate for EUS-PD.
Specific subtypes of Memokath stents have been developed for ureteral strictures, BPE, and urethral strictures [18], and Memokath stents have even been used for treatment of ureteral avulsion [19], ureteroileal
anastomotic stricture [20], strictures in renal transplant kidneys [21], and ureterovaginal fistulas [22].
Krause, "Shorter circular staple height is associated with lower
anastomotic stricture rate in laparoscopic gastric bypass," Surgery for Obesity and Related Diseases, vol.
Postoperative morbidity now accounts for a significant proportion of the burden of the disease, and despite the recent refinements of operative techniques and improvements in perioperative management,
anastomotic stricture after repair of oesophageal atresia remains frequent and develops in nearly 40% of operated patients.
This was felt to be secondary to delayed gastric emptying and a mild
anastomotic stricture. She underwent Botox injection into the pylorus along with therapeutic dilation and triamcinolone acetonide injection to stricture.