Case Report
Copyright ©The Author(s) 2020.
World J Gastrointest Surg. Nov 27, 2020; 12(11): 460-467
Published online Nov 27, 2020. doi: 10.4240/wjgs.v12.i11.460
Table 1 Patient demographic and clinical characteristics prior to the radial incision and cutting procedure
Case
1
2
Age (yr)/Gender78/Female47/Female
Chief complaints before surgeryHematochezia, constipation, tenesmusAbdominal pain, constipation
Clinical symptoms at diagnosisNoneAbdominal distension, constipation
ComorbidityHTNInsomnia, mood disorder
Past history of abdominal surgeryNoneTLH with BSO
Operation methodLARHAR
Temporary ileostomyYesNo
Postoperative complicationNoneNone
PathologyAdenocarcinomaEndometriosis
StagepT3N0M0
Adjuvant therapyNoneNone
Table 2 Clinical outcomes of the radial incision and cutting procedure and colonoscopic findings
Patient
1
2
Duration from surgery to endoscopic RIC (mo)34
Sedative drugsMidazolamMidazolam, propofol
Distance between AS and anal verge (cm)412
Diameter of AS (mm)24
Ileostomy status at time of endoscopic RICYesNo
Pretreatment before RICNoneNone
Procedure time (min)1220
Major complicationsNoneNone
Post-procedural hospital stays (d)32
Follow-up after endoscopic RIC (mo)2023
Table 3 Previous report of only using endoscopic radical incision and cutting for anastomotic stenosis (review of the literature)

Kawaguti et al[12]
Harada et al[14]
Osera et al[11]
Asayama et al[13]
Our study
Number of the patient, n13732
Median age (yr), (range)6762 (NA)66 (56-72)72 (65-76)62.5 (47-78)
Gender (male:female)NA3:06:13:00:2
Median interval from surgery to RIC (mo), (range)NA7 (5-12)11 (5-44)21 (9-29)3.5 (3-4)
AS locationRRRT, S, SR
Temporary stoma at time of RIC, n113NA1
Treatment naive AS, n10022
Previous treatment of RIC, nNone371None
Bougie dilatationNA50
Endoscopic balloon dilatationNA21
Endoscopic RIC with single session, n12422
Mean number of RIC sessions11.32.32.71
Median procedure time (min), (range)1269.5 (35-82)18 (7-34)22 (15-25)16 (12-20)
Major complicationNoneNoneNoneNoneNone
Median post-procedural hospital stay (d), (range)NA3.5 (3-4)3 (2-5)4 (2-5)2.5 (2-3)
Median follow-up after RIC (mo), (range)817 (3-33)27 (18-55)25 (5-34)21.5 (20-23)
Treatment after restenosis, n01210
Treatment failure, n00200