Abstract
Although uncommon, anastomotic stricture after low anterior resection may require additional repair beyond dilatation Two alternate approaches are described wherein laparoscopic and endoscopic techniques were utilized to avoid repeat pelvic surgery in two cases These can be used whether a stapled or hand-sewn approach was used for the initial anastomosis Photo documentation demonstrates a widely patent anastomosis after repair There is early return of bowel function by these methods, and long-term results (3 years) are excellent
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Moran BJ Stapling instruments for intestinal anastomosis in colorectal surgery Br J Surg 1996,83 902–909
Vignali A, Fazio VW, Lavery IC, Milson, JM,Church JM, Hull TL, Strong SA, Oakley JR Factors associated with the occur rence of leaks in stapled rectal anastomoses A review of 1,014 patients Ann Surg 1997,185 105–113
Hinton CP A new technique for excision of recurrent anasto motic srictures of the rectum Ann R Co11 Surg Engl 1986,68 260–261
Lausten SB, Sakso P Treatment of a stenotic colorectal anasto mosis by transanal use of an endoscopic stapler Br J Surg 1994,81 144
Pagni S, McLaughlin CM Simple techmque for the treatment of strictured colorectal anastomosis Dis Colon Rectum 1994,38 433–434
Shimada S, Matsuda M, Uno K, Matsuzaki H, Murakami S, Ogawa M A new device for the treatment of coloproctostomic stricture after double stapling anastomoses Ann Surg 1996, 224 603–608
Fmgerhut A, Elhadad A, Hay J-M, Lacaine F, Flamant Y Infraperitoneal colorectal anastomosis Hand-sewn versus circular staples A controlled clinical trial Surgery 1994,116 484–490
Detry RJ, Kartheuser A, Delriviere L, Saba J, Kestens PJ Use of the circular stapler in 1000 consecutive colorectal anastomoses Expenence of one surgcal team Surgery 1994,117 140–145
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Kozol, R.A., Kosir, M.A. Laparoscopic/Endoscopic repair of rectal stricture. J Gastrointest Surg 2, 426–429 (1998). https://doi.org/10.1016/S1091-255X(98)80032-2
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DOI: https://doi.org/10.1016/S1091-255X(98)80032-2