ENDOSCOPIC BALLOON DILATION TECHNIQUE FOR THE STENOSIS WITH COLORECTAL DISEASE

概要

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Endoscopic balloon dilation (EBD) is a relatively easy and useful treatment method for benign colorectal strictures. The main indications of EBD are anastomotic strictures after operation of colorectal cancer and inflammatory bowel disease. Most of EBD treatment is carried out using the TTS (though the scope) balloon which can be inserted from the forceps channel of a colonoscope, and the dilated balloon is advanced though the stricture under direct vision. Before EBD treatment for colorectal strictures, it is important to choose adaptation of EBD strictly. If the stricture of the large intestine separates from adaptation of EBD, other treatments such as surgical operation are taken into consideration. When performing EBD treatment, it is important to avoid forcible dilatation and pay attention for the grade of a patient's abdominal pain. Usually, under one EBD treatment, it limits to the dilation of stricture about 3 times, and one or two treatment per week is repeated. Since recurrent strictures after EBD are frequently occurred, it is necessary to perform progress observation with colonoscopy or radiography.
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