Radial incision and cutting combined with balloon dilation for refractory pancreaticojejunostomy anastomotic strictures
Abstract: Background and study aims Endoscopic balloon dilation (BD) and temporary stent placement for pancreaticojejunostomy anastomotic stricture (PJAS) achieves good short-term outcomes; however, stricture recurrences remain frequent. We examined the feasibility of performing radial incision and cutting (RIC) combined with BD for refractory PJAS. Patients and methods Five consecutive patients with refractory PJAS who underwent RIC with BD between 2015 and 2018 were retrospectively investigated. We evaluated the technical and clinical success, adverse event (AE), and recurrence rates associated with RIC with BD. Results In all five patients, technical and clinical success were achieved. Pancreatic stone removal was simultaneously performed in one patient. The mean procedure time was 18 minutes (range 12–23 minutes). There were no procedure-related AEs. All patients were followed for over 2 years, with a mean follow-up period of 33 months (range 24–40 months). During the follow-up period, none of the patients developed stricture recurrence and all anastomoses remained patent. Conclusions This is the first report of RIC with BD for the treatment of refractory PJAS, showing favorable results. This combined procedure might be a useful option for treating refractory PJAS.
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Bibliographic citation
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Radial incision and cutting combined with balloon dilation for refractory pancreaticojejunostomy anastomotic strictures ; volume:09 ; number:04 ; year:2021 ; pages:E578-E582
Endoscopy International Open ; 09, Heft 04 (2021), E578-E582
- Contributor
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Inoue, Tadahisa
Ibusuki, Mayu
Kitano, Rena
Kobayashi, Yuji
Ohashi, Tomohiko
Sumida, Yoshio
Nakade, Yukiomi
Ito, Kiyoaki
Yoneda, Masashi
- DOI
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10.1055/a-1372-3628
- URN
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urn:nbn:de:101:1-2022031110552638665951
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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15.08.2025, 7:24 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Inoue, Tadahisa
- Ibusuki, Mayu
- Kitano, Rena
- Kobayashi, Yuji
- Ohashi, Tomohiko
- Sumida, Yoshio
- Nakade, Yukiomi
- Ito, Kiyoaki
- Yoneda, Masashi
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Paclitaxel-eluting balloon dilation of biliary anastomotic stricture after liver transplantation
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Endoscopic incision and balloon dilation using the rendezvous technique for complete anastomotic obstruction after rectal low-anterior resection
Paclitaxel-eluting balloon dilation of biliary anastomotic stricture after liver transplantation
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Endoscopic dilation of benign esophageal anastomotic strictures over 16 mm has a longer lasting effect
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