Acupotomy in the management of colostomy stenosis after abdominoperineal resection: a case report - Report - MDSpire

Acupotomy in the management of colostomy stenosis after abdominoperineal resection: a case report

  • By

  • Yun Jiang

  • Zhenju Liu

  • Chaoying Cai

  • Xiaofeng Wang

  • Yi Yang

  • July 3, 2026

  • 0 min

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Clinical Report: Utilization of Acupotomy for Treating Colostomy Stenosis

Background

Stomal stenosis is a common complication following permanent colostomy, affecting 2%–15% of patients post-abdominoperineal resection. Traditional management often involves painful dilatation or surgical revision, which can lead to increased patient discomfort and costs.

Data Highlights

No numerical or trial data is provided in the article.

Key Findings

  • Stomal stenosis occurs in approximately 2%–15% of patients after colostomy.
  • Conservative management is the first-line treatment for stomal stenosis.
  • Acupotomy was performed on a patient with stenosis after APR, leading to immediate symptom relief.
  • The technique involved careful release of fibrotic scar tissue using an acupotomy knife.
  • Evidence supporting acupotomy for this indication is limited to case reports.

Clinical Implications

Acupotomy may serve as a viable alternative treatment for patients with stomal stenosis when conservative measures fail. Further studies are needed to establish its efficacy and safety in a broader patient population.

Conclusion

The use of acupotomy in this case suggests a potential minimally invasive approach for treating stomal stenosis, warranting further investigation.

Related Resources & Content

  1. Frontiers | Acupotomy in the Management of Colostomy Stenosis after Abdominoperineal Resection: A Case Report
  2. Ostomy-Related Complications - PMC
  3. Stoma Complications - PMC
  4. Techniques in Coloproctology — Utilization of Vacuum-Assisted Closure Techniques in Coloproctology
  5. Surgical Endoscopy — Endoscopic Cecostomy for Treating Ogilvie’s Syndrome: A Case Series and Review of Current Guidelines (Includes Video)
  6. Updates in Surgery — Innovative Short Stump and High Anastomosis Pull-Through Technique for Delayed Coloanal Anastomosis Without Protective Stoma in Low Rectal Cancer Cases
  7. Techniques in Coloproctology — Transanal Surgical Approach for Managing Anastomotic Leakage Following Low Anterior Resection in Rectal Cancer: A Prospective Study
  8. Ostomy-Related Complications - PMC
  9. Stoma Complications - PMC
  10. Frontiers | Acupotomy in the Management of Colostomy Stenosis after Abdominoperineal Resection: A Case Report

Original Source(s)

Acupotomy in the management of colostomy stenosis after abdominoperineal resection: a case report

  • by Yun Jiang, Zhenju Liu, Chaoying Cai, Xiaofeng Wang, Yi Yang

  • July 3, 2026

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