Recently, balloon enteroscopy has made possible the use of endoscopic approaches to the surgically reconstructed intestine [1–4], so that hepaticojejunostomy strictures can be treated endoscopically. We describe the successful endoscopic dilation of a severe hepaticojejunostomy stricture with a wire-guided diathermic dilator (6-Fr, 180-cm Cysto-Gastro-Set; Endo-flex, Voerde, Germany) (●" Fig.1)...

Gastrointestinal perforation, anastomotic leak, stricture and fistula remain a therapeutic challenge because open surgical approaches have been associated with high rates of morbidity, mortality, and repeat recurrences. Various endoscopic technique using tissue adhesives, electrocautery, sclerosants, stenting, clipping and OTSC have been reported. Now we introduce these methods for management o...

A one year retrospective study of 76 patients with peptic oesophageal stricture was performed. Analysis of results showed a significant age-related risk of developing peptic oesophageal stricture. Possible age-related risk factors are discussed. Pitfalls in diagnosis and management are highlighted and the role of H2 receptor antagonists, antacids and omeprazole are discussed.

Esophageal stricture is a well-described complication following tracheoesophageal fistula repair. Herein, we report two patients who had persistent esophageal strictures after several months of repeat balloon dilatations. Each patient was treated with a single application of topical mitomycin C in addition to esophageal dilatation, which resulted in complete resolution of the stricture.

Urethroplasty is the preferred surgical approach for the management of urethral stricture disease. To date, no standard has been established to evaluate stricture recurrence after urethral reconstruction, though both invasive and non-invasive methods are used widely. In this article we review the role of noninvasive testing and questionnaires in urethral monitoring after urethroplasty.

Primary urethral calculus is rarely seen and is usually encountered in men with urethral stricture or diverticulum. We present a case of giant urethral calculus secondary to a urethral stricture in a man. The patient was treated with calculus extraction with end to end urethroplasty.

PURPOSE We describe our experience with blunt straddle injuries to the anterior urethra and identify factors that may affect patient outcome. MATERIALS AND METHODS We reviewed the San Francisco General Hospital Urologic Trauma data base to identify men with blunt straddle injury. We analyzed presentation and initial management, location and length of urethral stricture, surgical options, and ...

To cite: Patil S, Goel A, Singh V, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013202180 DESCRIPTION A 52-year-old man, with a known case of catheterinduced stricture urethra, presented with swelling and pain in the right scrotum with a high-grade fever for 8 days following an attempt of urethral stricture dilation using metallic bougie for urinary ret...

INTRODUCTION Fibrotic scar formation is a main cause of recurrent urethral stricture after initial management with direct vision internal urethrotomy (DVIU). In the present study, we devised a new technique of combined the transurethral resection of fibrotic scar tissue and temporary urethral stenting, using a thermo-expandable urethral stent (Memokath(TM) 044TW) in patients with anterior ureth...