A new approach to rectal anastomotic stricture

Abstract

A technique is presented that can serve as a solution for localized postoperative rectal stricture. This procedure was used after the failure of manual and instrumental dilatations. It consisted of cutting the prominent plication of the stricture, using the EEA stapler. Five patients successfully underwent this operation without morbidity or mortality, three after very low anterior resection and two after total colectomy, mucosal proctectomy, and ileoanal anastomosis.

Colorectal Anastomotic Stenosis After Elective Laparoscopic Sigmoidectomy for Diverticular Disease: A Prospective Evaluation of 68 Patients

“…Other procedures and use of devices have been described to manage anastomotic stenosis transluminally: staple cutter, 13 endoscopic transanal resection or selfexpanding metallic stents, 26 transanally circular stapler, [27][28][29] and transanal endoscopic microsurgery (TEMS). 30 The success rate of nonsurgical treatment depends on the type of stenosis and the nature of the surgically treated disease.…”

Use of Endoscopic Titanium Stapler in Rectal Anastomotic Stricture

“…Various techniques have been described for treatment of rectal anastomotic strictures. In 1989 Ovnat et al 7 described cutting the stricture using EEA ® (United States Surgical Corp., Norwalk, CT) stapler by introducing it via the anus. Three patients had good results and two needed a repeat procedure.…”

Anastomotic occlusive web following double-stapled anterior resection and fecal diversion Presentation and endoscopic management

“…Most recently, the EndoGIA [18] and the EEA staplers [16] have been used to successfully treat these problems. Successful treatment of an anastomotic web using Hegar dilator and digital dilatation was described [2] in a case similar to ours.…”