A CASE OF EFFECTIVE BALLOON DILATION COMBINED WITH STEROID INJECTION AND ORAL MEDICATION FOR REFRACTORY ANASTOMOTIC STENOSIS AFTER SIGMOID COLECTOMY

Abstract

The patient was a 75-year-old man who underwent elective sigmoid colectomy for repeated sigmoid colon torsion and subsequent transverse loop colostomy because of anastomosis leakage. As postoperative anastomotic stenosis was detected on a CS, endoscopic balloon dilation was performed thrice in stages, and the diameter was increased to 15 mm. Restenosis was observed within a short period, and dilation was repeated with an increased balloon diameter; however, perforation occurred. Conservative treatment improved the condition, but restenosis was observed in the subsequent CS after balloon dilation to Φ15 mm, triamcinolone was injected locally and prednisolone was administered orally. No restenosis was observed at the next follow-up, and the colostomy opening was closed successfully.