Two Cases of Electrocautery Incision Therapy Using an Insulated-tip Knife for Treatment of Symptomatic Benign Short-segment Colonic Stenosis Following Colonic Resection

Jang Hoon Kwon; Koon Hee Han; Moon Ho Kim; Woo Sung Jang; Jung Ho Yun; Yun A Song; Jong Kyu Park; Gab Jin Cheon

doi:10.4166/kjg.2014.64.3.164

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Kwon, Han, Kim, Jang, Yun, Song, Park, and Cheon: Two Cases of Electrocautery Incision Therapy Using an Insulated-tip Knife for Treatment of Symptomatic Benign Short-segment Colonic Stenosis Following Colonic Resection

Case Report

Korean J Gastroenterol 2014;64(3):164-167.

Published online: 4 October 2014

DOI: https://doi.org/10.4166/kjg.2014.64.3.164

Two Cases of Electrocautery Incision Therapy Using an Insulated-tip Knife for Treatment of Symptomatic Benign Short-segment Colonic Stenosis Following Colonic Resection

Jang Hoon Kwon, Koon Hee Han, Moon Ho Kim, Woo Sung Jang, Jung Ho Yun, Yun A Song, Jong Kyu Park, Gab Jin Cheon

Division of Gastroenterology, Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea

Correspondence to: Koon Hee Han, Department of Internal Medicine, Gangneung Asan Hospital, 38 Bangdong-gil, Sacheon-myeon, Gangneung 210-711, Korea. Tel: +82-33-610-3133, Fax: +82-33-610-8130, E-mail: hankoonhee@hanmail.net

Received 12 September 201321 February 2014 Accepted 26 February 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Anastomotic stenosis of the colon is not an uncommon finding; however, its frequency varies from one study to another. Traditionally, postoperative colonic stenosis is managed surgically. However, endoscopic therapy has recently become the preferred treatment modality over traditional surgery. Good short-term success has been achieved with use of endoscopic balloon dilation; however, restenosis may occur over time in 14% to 25% of patients. The current report showed the effectiveness and usefulness of an insulated-tip knife (IT-knife) for electrocautery therapy of a patient with symptomatic anastomotic colonic stenosis.

Keywords: Colon, Stenosis, Electrocautery

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