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Publication Name World Journal of Gastrointestinal Pathophysiology
Manuscript ID 107492
Country Türkiye
Category Gastroenterology & Hepatology
Manuscript Type Minireviews
Article Title Pathophysiology of anastomotic stricture following rectal anastomosis: Insights into mechanisms, risk factors, and preventive strategies
Manuscript Source Invited Manuscript
All Author List Ahmet Yavuz, Hikmet Pehlevan-Özel and Mesut Tez
Funding Agency and Grant Number
Corresponding Author Mesut Tez, Professor, Department of Surgery, University of Health Sciences, Ankara City Hospital, No. 1 Bilkent Street, District of Universities, Ankara 06800, Türkiye. mesuttez@yahoo.com
Key Words Anastomotic stricture; Rectal cancer; Fibrosis; Inflammation; Anastomotic leakage; Radiotherapy; Ischemia; Surgical technique
Core Tip Anastomotic stricture following rectal anastomosis is a multifactorial complication driven by fibrosis, inflammation, anastomotic leakage, radiotherapy, and ischemia. This review highlights the pathophysiological mechanisms, including excessive collagen deposition and transforming growth factor-beta activation, and identifies key risk factors such as neoadjuvant radiotherapy and surgical technique. Preventive strategies, such as preserving blood supply and using standardized stapling techniques, are emphasized to improve patient outcomes and reduce stricture incidence.
Citation Yavuz A, Pehlevan-Özel H, Tez M. Pathophysiology of anastomotic stricture following rectal anastomosis: Insights into mechanisms, risk factors, and preventive strategies. World J Gastrointest Pathophysiol 2025; In press
Received
2025-03-25 05:32
Peer-Review Started
2025-03-25 05:32
To Make the First Decision
Return for Revision
2025-03-28 09:46
Revised
2025-03-28 14:25
Second Decision
2025-05-08 02:51
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief
2025-05-08 12:55
Articles in Press
2025-05-08 12:55
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 2150-5330 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
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