A Novel Approach to Dilation of Complete Colorectal Anastomotic Stricture Using Transillumination

Abstract

Colorectal anastomotic strictures are a well-known complication of low anterior resection. Depending on their location, strictures are amendable to different forms of endoscopic intervention. However, all endoscopic interventions are contingent on passing a guidewire across the anastomotic stricture. We present the case of a patient with a complete anastomotic stricture that could not be traversed by conventional endoscopy and the unique method by which a lumen was created in the anastomotic strictures that allowed for a guidewire to be passed across.

Endoscopic ultrasound‐guided colo‐colostomy for the treatment of benign complete occlusion of colonic anastomosis: a case series and description of technique

“…A variety of different endoscopic techniques for restoring the continuity of the colon have been described [5][6][7]. A common theme is that guidance is achieved using either fluoroscopy or trans-illumination.…”

Rendezvous endoscopy using a transillumination fashion as a feasible and safe alternative to endoscopic ultrasound‐guided recanalization in case of complete anastomotic stricture

“…Thus far, only few cases of dilation of complete anastomotic stricture by a combined antegrade and retrograde fashion have been described. 1,2 The main take-home message of our brief report should be to remind readers about taking always into consideration all the endoscopic choices available before reintervention, checking the current literature! 1,2 drafting the article, and final approval of the version to be published.…”

“…1,2 The main take-home message of our brief report should be to remind readers about taking always into consideration all the endoscopic choices available before reintervention, checking the current literature! 1,2 drafting the article, and final approval of the version to be published. Luca Talamucci involved in study design, data analysis, drafting the article, and final approval of the version to be published.…”

“… 1 , 2 The main take‐home message of our brief report should be to remind readers about taking always into consideration all the endoscopic choices available before reintervention, checking the current literature! 1 , 2 …”