Zhang MM, Sha HC, Xue HR, Qin YF, Dong FF, Zhang L, Lyu Y, Yan XP. Treatment of anastomotic stricture after rectal cancer operation by magnetic compression technique: A case report. World J Gastrointest Surg 2024; 16(5): 1443-1448 [PMID: 38817285 DOI: 10.4240/wjgs.v16.i5.1443]
Corresponding Author of This Article
Xiao-Peng Yan, MD, PhD, Associate Research Scientist, Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, No. 277 West Yanta Road, Xi’an 710061, Shaanxi Province, China. yanxiaopeng9966@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. May 27, 2024; 16(5): 1443-1448 Published online May 27, 2024. doi: 10.4240/wjgs.v16.i5.1443
Treatment of anastomotic stricture after rectal cancer operation by magnetic compression technique: A case report
Miao-Miao Zhang, Huan-Chen Sha, Hai-Rong Xue, Yuan-Fa Qin, Fang-Fang Dong, Li Zhang, Yi Lyu, Xiao-Peng Yan
Miao-Miao Zhang, Huan-Chen Sha, Yuan-Fa Qin, Fang-Fang Dong, Li Zhang, Yi Lyu, Xiao-Peng Yan, Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, Shaanxi Province, China
Miao-Miao Zhang, Yi Lyu, Xiao-Peng Yan, Shaanxi Provincial Key Laboratory of Magnetic Medicine, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, Shaanxi Province, China
Hai-Rong Xue, Department of Gastroenterology, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, Shaanxi Province, China
Co-first authors: Miao-Miao Zhang and Huan-Chen Sha.
Co-corresponding authors: Xiao-Peng Yan and Yi Lyu.
Author contributions: Yan XP and Lyu Y designed the operation and revised the manuscript; Zhang MM, Sha HC, Xue HR, Qin YF, and Yan XP performed the operation and drafted this manuscript; Dong FF and Zhang L assisted in perioperative care; and all authors have read and approved the final manuscript.
Supported bythe Institutional Foundation of The First Affiliated Hospital of Xi’an Jiaotong University, No. 2022MS-07; and Fundamental Research Funds for the Central Universities, No. xzy022023068.
Informed consent statement: Informed written consent was obtained from the patients for the publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Peng Yan, MD, PhD, Associate Research Scientist, Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, No. 277 West Yanta Road, Xi’an 710061, Shaanxi Province, China. yanxiaopeng9966@163.com
Received: January 13, 2024 Revised: March 13, 2024 Accepted: April 12, 2024 Published online: May 27, 2024 Processing time: 131 Days and 2 Hours
Abstract
BACKGROUND
The treatment of postoperative anastomotic stenosis (AS) after resection of colorectal cancer is challenging. Endoscopic balloon dilation is used to treat stenosis in such cases, but some patients do not show improvement even after multiple balloon dilations. Magnetic compression technique (MCT) has been used for gastrointestinal anastomosis, but its use for the treatment of postoperative AS after colorectal cancer surgery has rarely been reported.
CASE SUMMARY
We report a 72-year-old man who underwent radical resection of colorectal cancer and ileostomy one year ago. An ileostomy closure was prepared six months ago, but colonoscopy revealed a narrowing of the rectal anastomosis. Endoscopic balloon dilation was performed three times, but colonoscopy showed no significant improvement in stenosis. The AS was successfully treated using MCT.
CONCLUSION
MCT is a minimally invasive method that can be used for the treatment of postoperative AS after colorectal cancer surgery.
Core Tip: Endoscopic balloon dilation of postoperative anastomotic stenosis (AS) after colorectal cancer surgery is not always effective. Repeated balloon dilation can aggravate the stenosis. Magnetic compression technique (MCT) has been used for gastrointestinal anastomosis, but its use for the treatment of postoperative AS of colorectal cancer has rarely been reported. This article reports the treatment process and outcomes of MCT for the treatment of postoperative AS after colorectal cancer surgery. Our experience suggests that MCT can be an effective treatment for postoperative AS in this setting.
