Endoscopic possibilities in of patients with low cicatricial strictures

The aim of investigation: determination of the effectiveness of endoscopic methods in treatment of patients with low scarring strictures of bowel in settings of SBIHC “Region Clinic Hospital Nr 2” Materials and methods: we analyzed the treatment of 32 patients with low scarring strictures of bowel. The reasons of development of scarring narrowings and options of endoscopic treatment of this group of patients were studied. The causes of formation of scarring strictures in 29 patients (91,0%) were operarions performed. In 3 patients (9,0%) of this group low scarring strictures developed on the background of inflammatory bowel disease performed. Results: in SBIHC “Region Clinic Hospital Nr 2” the following methods of endoscopic recanalization of scarring strictures were used: hardware bougienage were performed in 12 patients (37,5%), mechanical bougienage (using silicone bougies) in 6 patients (18,8%), combination of methods of hardware and mechanical bougienage was used in 4 patients (12,5%), balloon dilatation as the method of the extension of the lumen was used in 4 patients (12,5%), combination of methods of mechanical bougienage and balloon dilatation was used in 4 (12,5%) patients, stenting with nitinole self-expanding stents was used in 2 patients (6,2%). The efficiency of used methods was 72%. In the majority of cases (65,6%) multi-stage treatment was required. In patients with whom we failed to achieve adequate expansion of the lumen the reconstructive surgery was performed. Conclusion: endoscopic methods of recanalization of the lumen in scarring narrowings are sufficiently effective with compliance of conditions of dynamic observation.

рубцовая стриктура, толстая кишка, аппаратное бужирование, баллонная дилатация, колоноскопия, scarring stricture, bowel, hardware bougienage, balloon dilatation, colonoscopy