Patient Develops Anastomotic Stricture After Low Anastomosis with Diverting Ileostomy

  • Nivedh V. Paluvoi
  • Sang W. Lee


Rectal anastomosis should be endoscopically examined prior to reversing the protective stoma. Serial dilation can be performed safely for a narrow web or a stricture. If the lumen is not visualized, transillumination proximally to the anastomosis using a flexible endoscope can allow the surgeon to identify the lumen.


Anastomotic stricture Transillumination Flexible endoscopy 

Suggested Reading

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    Sinh P, Shen B. Endoscopic evaluation of surgically altered bowel in patients with inflammatory bowel diseases. Inflamm Bowel Dis. 2015;21(6):1459–71.PubMedPubMedCentralGoogle Scholar
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    Umanskiy K, Hyman N. Anastomotic complications. In: Steele SR, Hull TL, Read TE, Saclarides TJ, Senagore AJ, Whitlow CB, editors. The ASCRS textbook of colon and rectal surgery. 3rd ed. Heidelberg, New York, Dordrecht, London: Springer Publ; 2016. p. P161–71.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Nivedh V. Paluvoi
    • 1
  • Sang W. Lee
    • 2
  1. 1.University of Miami, Department of Surgery, Division of Colorectal SurgeryPasadenaUSA
  2. 2.Department of Surgery – Colon and Rectal SurgeryKeck School of Medicine of University of Southern CaliforniaLos AngelesUSA

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