anastomotic stricture
Narrowing at the surgical connection site between two hollow organs.
Full Definition
An anastomotic stricture is a pathological narrowing that develops at the site where two hollow organs have been surgically connected (anastomosed). This complication can occur after various gastrointestinal procedures, including esophagogastrostomy, gastrojejunostomy, or colorectal anastomosis. Strictures may result from ischemia, tension, infection, or excessive scarring during healing. Symptoms depend on location but commonly include dysphagia, vomiting, or bowel obstruction. Management may involve endoscopic dilation, stenting, or surgical revision. Early strictures may be inflammatory and responsive to conservative treatment, while mature fibrotic strictures often require intervention.
Usage
Usage note: Distinguish from anastomotic leak, which involves dehiscence rather than narrowing.
In Context
- "Contrast swallow revealed an anastomotic stricture causing complete dysphagia." — Radiology report
- "Endoscopic balloon dilation successfully treated the colonic anastomotic stricture." — Procedure note