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
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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页数:3
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