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EUS-guided management of anastomotic stricture: A case report
被引:1
|作者:
Beck, Tim N.
[1
,4
]
Da Silva Neto, Emidio Germano
[1
]
Burneikis, Talia
[1
]
Garofalo, Thomas E.
[2
]
Pollack, Michael J.
[3
]
O'Brien, William J.
[1
]
机构:
[1] Cleveland Clin, Dept Gen Surg, Cleveland, OH USA
[2] Cleveland Clin, Dept Colon & Rectal Surg, Cleveland, OH USA
[3] Cleveland Clin, Dept Gastroenterol, Cleveland, OH USA
[4] Cleveland Clin, Cleveland, OH 44195 USA
来源:
关键词:
Endoscopic ultrasound;
Colorectal anastomosis;
Low anterior resection;
Colonic adenoma;
Anastomotic stenosis;
Endoscopy;
STENOSIS;
D O I:
10.1016/j.ijscr.2023.108220
中图分类号:
R61 [外科手术学];
学科分类号:
摘要:
Introduction and importance: Anastomotic stenosis after low anterior resection is a serious complication and at times even requires surgical revision of the anastomosis.Case presentation and clinical discussion: The patient presented with a 4.0 cm tubulovillous adenoma of the proximal rectum and underwent low anterior resection with loop ileostomy and subsequent reversal. The case was complicated by complete anastomotic stenosis. A novel technique was utilized to create an Endoscopic Ultrasound (EUS)-guided neo-anastomosis endoscopically.Conclusion: EUS-guided creation of a neo-colorectal anastomosis is a safe and effective alternative to surgical anastomosis revision of a completely stenosed anastomosis.
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