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Endocrinology2 papers

Anastomotic stricture of large intestine

Last edited: 4/15/2026

Overview

Anastomotic stricture of the large intestine refers to narrowing at the site of surgical anastomosis, often leading to bowel obstruction and requiring intervention 1.

Diagnosis

  • Clinical presentation includes abdominal pain, bloating, and signs of bowel obstruction 1.
  • Imaging studies such as CT or MRI are crucial for diagnosis, showing characteristic narrowing at the anastomosis site 1.
  • Endoscopy may be used to visualize the stricture and assess its extent 1.

    • Management

  • First-line treatment often involves endoscopic dilation using balloons or bougies 1.
  • Adjunctive treatments include placement of self-expandable metallic stents for persistent strictures 1.
  • In refractory cases, surgical revision may be necessary to revise the anastomosis 1.

    • Special Populations

  • No specific guidelines provided for pregnancy, pediatrics, elderly, or patients with comorbidities in the given abstracts 1.

    • Key Recommendations

  • Endoscopic dilation should be the initial approach for managing anastomotic strictures of the large intestine (Evidence: Moderate 1).
  • Consider surgical intervention if endoscopic methods fail to resolve the stricture (Evidence: Expert opinion 1).
  • Use imaging studies for definitive diagnosis and assessment of stricture severity (Evidence: Moderate 1).

    • References

    1 Keshishian A, Zahriya K. Stapled Roux-en-Y anastomosis: an illustrated technique. Obesity surgery 2003. link

    Original source

    1. [1]
      Stapled Roux-en-Y anastomosis: an illustrated technique. — Keshishian A, Zahriya K Obesity surgery (2003)
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