Management of colorectal anastomotic stricture with transanal endoscopic microsurgery (TEM)
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Two percent of patients with handsewn and 8% of patients with stapled colorectal anastomosis develop anastomotic stricture . Endoscopic balloon dilatation helps to overcome this complication for most of these patients. Those who do not benefit from balloon dilatation require surgical treatment. Although transabdominal resection is considered to be the most effective, it is a major operation. Other, less invasive surgical procedures, such as transanal endoscopic microsurgery (TEM), have been described [2, 3, 4, 5] as treatment options for these patients.
The aim of our study was to evaluate treatment of colorectal anastomotic strictures with TEM.
Materials and methods
All patients who had TEM for anastomotic rectal strictures at the Center of Abdominal Surgery, Vilnius University Hospital “Santaros Klinikos” after the failure of first-line therapies were selected from a prospectively maintained database. The Lithuanian Bioethics committee approved the study.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
Supplementary material 1 (WMV 142555 KB)
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