anastomotic stricture
A narrowing at the surgical connection site between two bowel segments that impedes normal intestinal flow.
Full Definition
Anastomotic stricture represents a pathological narrowing that develops at the site of surgical bowel anastomosis, resulting in partial or complete obstruction. This complication can occur following any intestinal anastomosis but is particularly concerning in pediatric patients due to their smaller bowel caliber and ongoing growth. Factors contributing to stricture formation include ischemia, tension on the anastomosis, infection, and technical factors such as suture material choice. Clinical presentation includes feeding intolerance, vomiting, abdominal distension, and failure to thrive. Management options range from balloon dilation to surgical revision depending on severity and location.
Usage
Usage note: Differentiate from anastomotic leak, which involves breakdown rather than narrowing.
In Context
- "Contrast study revealed significant anastomotic stricture requiring balloon dilation." — Radiology report
- "The patient developed anastomotic stricture six months following ileocolic resection." — Surgical follow-up note