Surgical Endoscopy

, Volume 11, Issue 5, pp 485–487 | Cite as

Successful treatment of a rectal anastomotic stenosis by transanal endoscopic microsurgery (TEM) using the contact Nd:YAG laser

  • K. Kato
  • T. Saito
  • M. Matsuda
  • M. Imai
  • S. Kasai
  • M. Mito
Article

Abstract

We report the advantage of employing transanal endoscopic microsurgery (TEM) using the contact Nd:YAG laser for the treatment of a rectal anastomotic stenosis. A 72-year-old woman was admitted to our hospital with a postoperative rectal anastomotic stenosis. Twenty months prior to admission, the patient underwent a low anterior resection for the treatment of the rectal cancer using an EEA stapling device. A barium enema and colonoscopy revealed a rectal stenosis, 0.8-cm diameter. This stenosis was at the anastomotic site, approximately 4.0 from the dental line. An endoscopic treatment was performed transanally using the contact Nd:YAG laser. The stenotic rectal wall was fulgurated or vaporized completely. There were no intraoperative or postoperative complications. We concluded that TEM appears to be a safe and minimally invasive procedure. Furthermore, the contact Nd:YAG laser is very effective in treating the gastrointestinal stenotic area. To our knowledge, this is the first successful report of this novel procedure.

Key words: Postoperative anastomotic stenosis — Transanal endoscopic microsurgery (TEM) — Contact Nd:YAG laser 

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Copyright information

© Springer-Verlag New York Inc. 1997

Authors and Affiliations

  • K. Kato
    • 1
  • T. Saito
    • 2
  • M. Matsuda
    • 1
  • M. Imai
    • 1
  • S. Kasai
    • 1
  • M. Mito
    • 1
  1. 1.Second Department of Surgery, Asahikawa Medical College, 4-5 Nishi-Kagura, Asahikawa, 078Japan
  2. 2.Department of Surgery, Higashi-Asahikawa Hospital, Kita 1-6 Higashi-Asahikawa, Asahikawa, 078Japan

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