Acupotomy in the management of colostomy stenosis after abdominoperineal resection: a case report - Takeaways - 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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  • 1

    Stomal stenosis occurs in 2%-15% of patients after permanent colostomy following abdominoperineal resection for rectal cancer.

  • 2

    Conservative management is the first-line treatment for stomal stenosis, but surgery is often required when conservative measures fail.

  • 3

    A 55-year-old female patient developed stomal stenosis two months post-abdominoperineal resection and was treated with acupotomy.

  • 4

    Acupotomy involved releasing fibrotic scar tissue at the stenotic ring, allowing the stoma to accommodate an index finger.

  • 5

    The patient's symptoms were promptly relieved after acupotomy, suggesting it may be a minimally invasive treatment option.

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