New treatment for ileal pouch-anal or coloanal anastomotic stenosis
Persistent anastomotic stricture following ileal pouch-anal or coloanal anastomoses can be treated by transanal resection using a stapler or a more complex procedure, such as transanal pouch advancement with neoanastomosis. We propose an easier and faster technique, which does not require any particular device. Its long-term functional results are satisfactory in most patients.
Key wordsAnastomotic stricture Coloanal anastomosis Heal pouch-anal anastomosis Surgical technique
Lewis WG, Kuzu A, Sagar PM, Holdsworth PJ, Johnston D. Stricture at the pouch-anal anastomosis after restorative protocolectomy. Dis Colon Rectum 1994;37:120–5.CrossRefPubMedGoogle Scholar
Galandiuk S, Scott NA, Dozois R,et al.
Ileal pouch-anal anastomosis: reoperation for pouch-related complications. Ann Surg 1990;212:446–52.PubMedGoogle Scholar
Mclean Ross AH. Rectal stricture resection using the EEA autostapler. Br J Surg 1980;67:281–2.PubMedGoogle Scholar
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;224:603–8.CrossRefPubMedGoogle Scholar
Fazio VW, Tjandra JJ. Pouch advancement and neoileoanal anastomosis for anastomotic stricture and anovaginal fistula complicating restorative proctocolectomy. Br J Surg 1992;79:694–6.PubMedGoogle Scholar
© the American Society of Colon and Rectal Surgeons 1998