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.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
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

Beteiligte Personen und Organisationen
Inoue, Tadahisa
Ibusuki, Mayu
Kitano, Rena
Kobayashi, Yuji
Ohashi, Tomohiko
Sumida, Yoshio
Nakade, Yukiomi
Ito, Kiyoaki
Yoneda, Masashi

DOI
10.1055/a-1372-3628
URN
urn:nbn:de:101:1-2022031110552638665951
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:24 MESZ

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Beteiligte

  • Inoue, Tadahisa
  • Ibusuki, Mayu
  • Kitano, Rena
  • Kobayashi, Yuji
  • Ohashi, Tomohiko
  • Sumida, Yoshio
  • Nakade, Yukiomi
  • Ito, Kiyoaki
  • Yoneda, Masashi

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