'Above and below' dilatation of anastomotic colorectal strictures
Kelly, M.J.
Annals of the Royal College of Surgeons of England 78(4): 384-387
1996
ISSN/ISBN: 0035-8843 PMID: 8712658 Document Number: 467290
A new technique is described for dilating anastomotic colorectal strictures lying distal to a protecting stoma where attempts at instrumentation from below have failed. The new manoeuvre consists of approaching the stricture simultaneously from above, using a fibrescope inserted through the stoma, and from below using a rigid sigmoidoscope. A guidewire is passed from above through the stricture and retrieved by the lower operator. Dilators can then be railroaded through it. Six successful cases are reported.