title: Recalcitrant coloanal strictures in children managed by transanal circular stapled reanastomosis.
abstract: Coloanal strictures are the narrowing of a segment of the colon leading to multiple complications. In the pediatric population they most commonly follow anastomotic procedures. Occasionally, coloanal strictures do not respond to standard dilatational management requiring operation. Transanal circular-stapled reanastomosis successfully treats dilatational resistant strictures in adults. We review four consecutive pediatric patients with benign, recalcitrant, coloanal anastomotic strictures managed successfully with this technique. To the best of our knowledge this is the first case series describing the use of this therapeutic modality for this type of strictures in pediatric patients.
authors.affiliation: University of Puerto Rico, School of Medicine, Puerto Rico Science Campus, Rio Piedras, Puerto Rico.
authors.forename: Rafael A
authors.initials: RA
authors.lastname: Couto
authors.affiliation: Department of General Surgery, UPR, School of Medicine, Puerto Rico Science Campus, Rio Piedras, Puerto Rico.
authors.forename: Jorge J
authors.initials: JJ
authors.lastname: Zequeira
authors.affiliation: Division of Pediatric Surgery, Department of Surgery, UPR School of Medicine, Puerto Rico Science Campus and University Pediatric Hospital, Rio Piedras, Puerto Rico. Electronic address: titolugo@coqui.net.
authors.forename: Humberto-Lugo
authors.initials: HL
authors.lastname: Vicente
mesh_terms: D000293:Adolescent; D001003:Anal Canal / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000379:methods; D002648:Child; D002675:Child, Preschool; D003106:Colon / Q000601:surgery*; D003251:Constriction, Pathologic / Q000601:surgery; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D012086:Reoperation; D017792:Surgical Stapling; D013536:Suture Techniques / Q000295:instrumentation*
keywords: Coloanal; Reanastomosis; Recalcitrant; Stapled; Strictures; Transanal