In our patient an anastomotic stricture
Contrast Studies had revealed the presence of an anastomotic stricture
complicated with a colo-cutaneous fistula (Figure 1).
Five cases were due to uretero-intestinal anastomotic stricture
, including 1 as a result of postoperative anastomotic leak resulting in a stricture rate of 17.
Anticipating that endoscopic therapy could be applied, the procedure was first performed with the overtube and a colonoscope (Olympus PCF Q160), which was advanced 40 cm into the ileum, where an anastomotic stricture
was identified and dilated with a CRE 18to 20-mm balloon (Boston Scientific Corp.
Pulmonary embolism, wound dehiscence and infection, anastomotic leaks, and anastomotic stricture
are potential complications of bariatric surgery.
Transnasal esophagoscopy revealed the presence of an anastomotic stricture
that measured 10 mm in diameter.
The retention of the 64 shells of nifedipine XL in this patient can be explained by the physical (density, size, adhesiveness, hardness) and pharmacological properties of nifedipine (a direct relaxing effect on smooth muscle), multiple diaphragm-like bands along the small bowel, and previous small bowel surgery and anastomotic stricture
The primary purpose of this prospective, randomized multicenter study is to evaluate and compare the outcomes of high risk colorectal or coloanal anastomoses constructed with GORE SEAMGUARD([R]) Bioabsorbable Staple Line Reinforcement for circular surgical staplers to standard non-reinforced colorectal and coloanal techniques with respect to the incidence of post-operative anastomotic leakage, anastomotic stricture
and time to ileostomy closure.
The most common complications of RYGB are wound infection (6% to 13% of cases) and gastrojejunal anastomotic stricture
(3% to 8%).
At 5-15 years after surgery, however, all complications (sepsis, fistula, anastomotic stricture
, obstruction, pouch failure, and pouchitis) had a tendency to increase.
19, 20) Although most esophagectomy series in the literature are reported from expert academic centers, recent studies indicate that the vast majority of these procedures (80%) are actually performed in smaller community hospitals, and are complicated by operative mortality of nearly 20%, and, in almost half of these patients, major morbidity including anastomotic stricture
(13%), anastomotic leak (7%), dumping syndrome (4%), recurrent aspiration (3%), and wound infection, colon necrosis, pyloric channel ulcer, pulmonary embolus and chylothorax (1% each).
Preliminary Data Shows a Statistically Significant Reduction in Anastomotic Stricture
Rate and Trends toward Decreased Anastomotic Bleeding and Leak Rates