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  • Title: 'Above and below' dilatation of anastomotic colorectal strictures.
    Author: Kelly MJ.
    Journal: Ann R Coll Surg Engl; 1996 Jul; 78(4):384-7. PubMed ID: 8712658.
    Abstract:
    A new technique is described for dilating anastomotic colorectal strictures lying distal to a protecting stoma where attempts at instrumentation from below have failed. The new manoeuvre consists of approaching the stricture simultaneously from above, using a fibrescope inserted through the stoma, and from below using a rigid sigmoidoscope. A guidewire is passed from above through the stricture and retrieved by the lower operator. Dilators can then be railroaded through it. Six successful cases are reported.
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