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Clinical efficacy of endoscopic treatment for benign colorectal stricture: balloon dilatation versus stenting

 Chan Hyuk Park  ;  Jin Young Yoon  ;  Soo Jung Park  ;  Jae Hee Cheon  ;  Tae Il Kim  ;  Sang Kil Lee  ;  Yong Chan Lee  ;  Won Ho Kim  ;  Sung Pil Hong 
 GUT AND LIVER, Vol.9(1) : 73-79, 2015 
Journal Title
Issue Date
Adult ; Aged ; Aged, 80 and over ; Colonic Diseases/surgery* ; Colonic Diseases/therapy ; Colonoscopy/methods* ; Constriction, Pathologic ; Dilatation/methods ; Female ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Stents* ; Treatment Outcome
Balloon dilatation ; Benign stricture ; Colorectal stricture ; Self-expandable metal stent
BACKGROUND/AIMS: There has been a lack of research comparing balloon dilatation and self-expandable metal stent (SEMS) placement to determine which is better for long-term clinical outcomes in patients with benign colorectal strictures. We aimed to compare the clinical efficacy and complication rates of balloon dilatation and SEMS placement for benign colorectal strictures from a variety of causes. METHODS: Between January 1999 and January 2012, a total of 43 consecutive patients who underwent endoscopic treatment for benign colorectal stricture (balloon only in 29 patients, SEMS only in seven patients, and both procedures in seven patients) were retrospectively reviewed. RESULTS: Thirty-six patients underwent endoscopic balloon dilatation, representing 65 individual sessions, and 14 patients received a total of 17 SEMS placements. The initial clinical success rates were similar in both groups (balloon vs SEMS, 89.1% vs 87.5%). Although the reobstruction rates were similar in both groups (balloon vs SEMS, 54.4% vs. 57.1%), the duration of patency was significantly longer in the balloon dilatation group compared with the SEMS group (65.5±13.3 months vs. 2.0±0.6 months, p=0.031). CONCLUSIONS: Endoscopic balloon dilatation is safe and effective as an initial treatment for benign colorectal stricture and as an alternative treatment for recurrent strictures.
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1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Won Ho(김원호) ORCID logo https://orcid.org/0000-0002-5682-9972
Kim, Tae Il(김태일) ORCID logo https://orcid.org/0000-0003-4807-890X
Park, Soo Jung(박수정)
Park, Chan Hyuk(박찬혁)
Yoon, Jin Young(윤진영)
Lee, Sang Kil(이상길) ORCID logo https://orcid.org/0000-0002-0721-0364
Lee, Yong Chan(이용찬) ORCID logo https://orcid.org/0000-0001-8800-6906
Cheon, Jae Hee(천재희) ORCID logo https://orcid.org/0000-0002-2282-8904
Hong, Sung Pil(홍성필)
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