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
Clinical Scorecard: Utilization of Acupotomy for Treating Colostomy Stenosis Post-Abdominoperineal Resection: A Case Study
At a Glance
Category Detail
Condition Colostomy Stenosis Key Mechanisms Fibrotic scar tissue formation at the stoma site Target Population Patients with permanent colostomy post-abdominoperineal resection for rectal cancer Care Setting Clinical case management
Key Highlights
Stomal stenosis occurs in approximately 2%–15% of patients post-APR. Conservative management is the first-line treatment for stomal stenosis. Acupotomy was performed to release fibrotic scar tissue in a patient with stenosis. The procedure resolved the stenosis immediately and relieved symptoms. Evidence for acupotomy as a treatment option is limited to this case study. Guideline-Based Recommendations
Diagnosis
Diagnosis of stomal stenosis should include exclusion of tumor recurrence, severe infection, and parastomal hernia. Management
Initial management of stomal stenosis typically involves conservative treatment, including repeated dilatation. Monitoring & Follow-up
Monitor for signs of obstruction, infection, and overall stoma viability postoperatively. Risks
Surgical intervention for stenosis may increase patient discomfort and incur higher costs. Patient & Prescribing Data
A 55-year-old female with rectal cancer and permanent colostomy.
Acupotomy may be a minimally invasive option for managing stomal stenosis.
Clinical Best Practices
Ensure thorough assessment of stoma viability and function post-surgery. Consider conservative management options before surgical intervention for stomal stenosis. Related Resources & Content
