Laparoscopy-assisted endoscopic bowel anastomosis stenosis revision with stapler: report of two cases.
Anastomosis stenosis is a complication after bowel surgery. We performed laparoscopy-assisted endoscopic revision of bowel anastomosis stenosis with a stapler in two cases: first, for secondary anastomosis stenosis 14 months after sigmoid colon resection, and second, for inadequate-size primary anastomosis after segmental colon resection requiring immediate revision. A stapler, an endoscopic linear cutter Endopath ETS (Ethicon Endo-Surgery, Cincinnati, Ohio, U.S.A.), is transanally inserted and fired once into the stricture to enlarge the inner lumen. The procedure seems to be fast and safe, less invasive, and cost-effective. This new technique can be used to avoid open surgery in cases of postoperative anastomosis stenosis as well as initially to increase the anastomosis diameter of the lower colon.
Morrison
J E
JE
Department of General Surgery, Fayette Medical Center, Alabama, USA.
Jacobs
V R
VR
D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D003082:Colectomy / Q000295:instrumentation / Q000379:methods; D018572:Disease-Free Survival; D004238:Diverticulitis / Q000601:surgery; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D020706:Laparoscopes; D010535:Laparoscopy / Q000009:adverse effects; D012086:Reoperation; D012810:Sigmoid Diseases / Q000601:surgery*; D012812:Sigmoidoscopy; D013528:Surgical Staplers / Q000009:adverse effects