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Techniques in Coloproctology

, Volume 22, Issue 9, pp 727–729 | Cite as

Management of colorectal anastomotic stricture with transanal endoscopic microsurgery (TEM)

  • M. Jakubauskas
  • V. Jotautas
  • E. Poskus
  • S. Mikalauskas
  • G. Valeikaite-Tauginiene
  • K. Strupas
  • T. PoskusEmail author
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Introduction

Two percent of patients with handsewn and 8% of patients with stapled colorectal anastomosis develop anastomotic stricture [1]. 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

Patients

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.

Surg...

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

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

Informed consent was obtained from all individual participants included in the study.

Supplementary material

Supplementary material 1 (WMV 142555 KB)

References

  1. 1.
    Neutzling CB, Lustosa SAS, Proenca IM, da Silva EMK, Matos D (2012) Stapled versus handsewn methods for colorectal anastomosis surgery. In: Cochrane database of systematic reviews. Wiley, New YorkGoogle Scholar
  2. 2.
    Baatrup G, Svensen R, Ellensen VS (2010) Benign rectal strictures managed with transanal resection—a novel application for transanal endoscopic microsurgery. Colorectal Dis 12:144–146.  https://doi.org/10.1111/j.1463-1318.2009.01842.x CrossRefPubMedGoogle Scholar
  3. 3.
    van Vledder MG, Doornebosch PG, de Graaf EJR (2016) Transanal endoscopic surgery for complications of prior rectal surgery. Surg Endosc 30:5356–5363.  https://doi.org/10.1007/s00464-016-4888-8 CrossRefPubMedGoogle Scholar
  4. 4.
    Winde G, Reers B, Berns T, Bunte H (1995) Transanal endoscopic microsurgical resection of anastomotic stricture following anterior resection of the rectum. Aktuelle Chirugie 30:136–139Google Scholar
  5. 5.
    Kato K, Saito T, Matsuda M, Imai M, Kasai S, Mito M (1997) Successful treatment of a rectal anastomotic stenosis by transanal endoscopic microsurgery (TEM) using the contact Nd:YAG laser. Surg Endosc 11:485–487CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  • M. Jakubauskas
    • 1
  • V. Jotautas
    • 1
    • 2
  • E. Poskus
    • 1
    • 2
  • S. Mikalauskas
    • 1
    • 2
  • G. Valeikaite-Tauginiene
    • 1
    • 2
  • K. Strupas
    • 1
    • 2
  • T. Poskus
    • 1
    • 2
    Email author
  1. 1.Faculty of MedicineVilnius UniversityVilniusLithuania
  2. 2.Center of Abdominal SurgeryVilnius University Hospital “Santaros Klinikos”VilniusLithuania

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