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Endoscopic Management of Benign Colorectal Strictures

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Gastrointestinal and Pancreatico-Biliary Diseases: Advanced Diagnostic and Therapeutic Endoscopy

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Abstract

Benign colorectal strictures are commonly encountered in clinical practice and may adversely affect the quality of life. They can be secondary specially to colorectal anastomosis and Crohn’s disease and less often to diverticular disease, large endoscopic resections, endometriosis, radiotherapy, and ischemia.

Several techniques had been employed to treat this adverse event such as digital, instrumental, and balloon dilation (with or without corticosteroid injection), electrosurgical incision, and metal stents, including lumen-apposing metal stents.

The choice of therapy should take into account the different etiologies, location, and extent. For lesions shorter than 5 cm in length, endoscopic treatment has good success rates, avoiding invasive surgical procedures and contributing to quality of life for these patients.

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Authors and Affiliations

  1. Endoscopy Unit of the Instituto do Câncer do Estado de São Paulo, São Paulo, Brazil

    Bruno Costa Martins & Joel Fernandez Oliveira

  2. University of São Paulo Medical School, São Paulo, Brazil

    Paulo Sakai

Authors
  1. Bruno Costa Martins
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  2. Joel Fernandez Oliveira
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  3. Paulo Sakai
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Editor information

Editors and Affiliations

  1. Gastrointestinal Endoscopy Unit, Vita-Salute San Raffaele University, MILANO, Milano, Italy

    Pier Alberto Testoni

  2. Digestive Diseases Center, Showa University Hospital, Tokyo, Japan

    Haruhiro Inoue

  3. Div. of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL, USA

    Michael B. Wallace

Section Editor information

  1. Department of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA

    Michael B. Wallace

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Costa Martins, B., Oliveira, J.F., Sakai, P. (2021). Endoscopic Management of Benign Colorectal Strictures. In: Testoni, P.A., Inoue, H., Wallace, M.B. (eds) Gastrointestinal and Pancreatico-Biliary Diseases: Advanced Diagnostic and Therapeutic Endoscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-29964-4_59-1

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  • DOI: https://doi.org/10.1007/978-3-030-29964-4_59-1

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