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Published in: Techniques in Coloproctology 9/2018

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 [25] as treatment options for these patients. …
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Literature
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go back to reference 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 York 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 York
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go back to reference Winde G, Reers B, Berns T, Bunte H (1995) Transanal endoscopic microsurgical resection of anastomotic stricture following anterior resection of the rectum. Aktuelle Chirugie 30:136–139 Winde G, Reers B, Berns T, Bunte H (1995) Transanal endoscopic microsurgical resection of anastomotic stricture following anterior resection of the rectum. Aktuelle Chirugie 30:136–139
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go back to reference 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 11:485–487CrossRef 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 11:485–487CrossRef
Metadata
Title
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
Publication date
01-09-2018
Publisher
Springer International Publishing
Published in
Techniques in Coloproctology / Issue 9/2018
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-018-1858-2

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