The study involved patients with ulcerative colitis who had a restorative proctocolectomy treated with an ileal pouch to anal anastomosis (ipaa) surgery.Pouch stricture is a common complication in such patients.This study performed stricturotomy or balloon dilation to treat the pouch strictures (and afferent limb strictures).The patients were treated between 2008 through 2017.There were 40 patients treated with the stricturotomy and 160 patients treated with an endoscopic balloon dilation.The authors stated the strictures were treated with either a non-olympus needle knife or an olympus single use electrosurgical it knife2.Per the authors, strictures were incised circumferentially or radially until the adequate passage of the scope was achieved.The authors also stated the patients who received the stricturotomy were significantly older than the other group and the duration from the stricture diagnosis to the treatment was also longer in the stricturotomy group.The patients reported to have perforations were in the endoscopic balloon dilation group and an olympus device was not used.Stricturotomy group only, serious adverse events: 7 patients had post-procedural bleeding.3 patients with procedure-related delayed bleeding requiring a transfusion.
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