Transanal circular stapler technique: a simple and highly effective method for the management of high-grade stenosis of low colorectal anastomoses.
Anastomotic stricture is a severe complication of colorectal anastomoses. Although dilatation is the treatment of choice for low-grade stenoses, surgery may be required for patients with high-grade stenoses or when dilatations fail. Surgical repair of colorectal anastomoses is a challenge for the surgeon. The transanal circular stapler technique is a simple and effective method for the repair of stenoses of low colorectal anastomoses, which avoids extensive tissue dissection and achieves excellent long-term results. We present 2 patients successfully treated by this technique [in one, the combined (transanal plus transabdominal) approach was used] and the relevant literature is briefly reviewed.
Nissotakis
Christos
C
Department of Surgery, 251 Hellenic Air Force Hospital, Athens, Greece.
Sakorafas
George H
GH
Vugiouklakis
Dimitrios
D
Kostopoulos
Panagiotis
P
Peros
George
G
D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects; D015179:Colorectal Neoplasms / Q000473:pathology / Q000601:surgery*; D003251:Constriction, Pathologic / Q000209:etiology / Q000473:pathology / Q000601:surgery; D004724:Endoscopy; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D008297:Male; D017792:Surgical Stapling / Q000379:methods*; D000267:Tissue Adhesions / Q000209:etiology