Abstract

Abstract Anastomotic stricture (AS) is a significant complication following colorectal surgery. Endoscopic balloon dilation (EBD) is commonly employed as the safest and most widely used technique for treating AS. However, the conventional EBD methods are ineffective in completely occluded AS. This case report presents a successful treatment of a complete AS in a 54-year-old Chinese woman using endoscopic incision and EBD. Initially, an endoscopic incision was performed to open the stricture, followed by gradual dilation with a cylindrical balloon catheter. The patient’s AS was successfully resolved, as confirmed by a follow-up colonoscopy 1 month after the procedure, revealing an open anastomosis with well-healed mucosa. These findings suggest that the combination of endoscopic incision and EBD represents a promising novel approach for managing completely occluded AS.

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