Published in:
01-09-2018 | Video Forum
Management of colorectal anastomotic stricture with transanal endoscopic microsurgery (TEM)
Authors:
M. Jakubauskas, V. Jotautas, E. Poskus, S. Mikalauskas, G. Valeikaite-Tauginiene, K. Strupas, T. Poskus
Published in:
Techniques in Coloproctology
|
Issue 9/2018
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Excerpt
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‐
5] as treatment options for these patients. …