EUS-guided recanalization of complete colorectal anastomotic stenosis using a lumen-apposing metal stent

Nunes, Gonçalo; Pinto-Marques, Pedro; Patita, Marta; Allen, M. Shannon; Gargaté, Luís

doi:10.4103/eus.eus_62_18

Cited by 13 publications

(15 citation statements)

References 3 publications

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“…Moreover, work is needed to clarify the standards and procedures of various operations to effectively assist in clinical decision-making. [ 69 ] Although the present technology and methods have shown advantages and lower medical costs in the diagnosis and treatment of hemorrhoid-related anorectal diseases, further cost-effectiveness analysis is needed to achieve the best balance between medical effectiveness and costs.…”

Section: Problems In the Research Of Related Technologies For Endoscomentioning

confidence: 99%

Progress in endoscopic treatment of hemorrhoids

Guo

Yang

et al. 2020

Journal of Translational Internal Medicine

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Hemorrhoids are one of the most common diseases of the anorectal region. Previously, treatment for hemorrhoids included conservative treatment, outpatient treatment, and surgical treatment. The development of flexible reversible endoscopes has provided precise controllability and imaging, enabling further improvement and development of various endoscopic techniques to treat hemorrhoids. This article discusses several of these endoscopic techniques: rubber band ligation, sclerotherapy, and electrocoagulation. The development, efficacy, and advantages of these treatments are summarized and evaluated. It is expected that going forward, endoscopic technology will be further applied in clinical practice and may become the first-line method for the treatment of hemorrhoids.

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Section: Problems In the Research Of Related Technologies For Endoscomentioning

confidence: 99%

Progress in endoscopic treatment of hemorrhoids

Guo

Yang

et al. 2020

Journal of Translational Internal Medicine

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“…In all cases reported in the current literature, the anastomosis was made on the end-to-end. [11][12][13][14][15][16][17][18][19][20] Conversely, in the two current cases, the anastomosis was made on the end-to-side. Therefore, there would be two liner scars inside the lumen of the intestine distal to the anastomosis, namely the anastomosis stenosis and the blind end.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic diagnosis and treatment of complete anastomosis stenosis after colorectal resection without protective ileostomy: report of two cases and literature review

Deng

Cao

et al. 2020

J Int Med Res

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This case report describes a novel procedure for opening the lumen of a completely obstructed anastomosis when open surgery is not an option. Two patients underwent ileocecal or colorectal resection and one-stage anastomosis reconstruction without diverging ileostomy. The patients developed post-surgical abdominal distension and nausea. Emergency imaging indicated complete anastomotic obstruction and distal intestinal anastomosis emptiness. Colonoscopy revealed an anastomosis that was completely discontinued by a membranous structure. Considering that open surgery was not a viable treatment option, a minimally invasive endoscopic approach was adopted to repair the obstruction. A needle knife was used to puncture the linear white scar and contrast agent was injected under endoscopy and fluoroscopic guidance. Fluoroscopically, the proximal bowel was identified and a dual knife-mediated membrane puncture was performed. A guidewire was then passed through the incision into the proximal bowel and progressive pneumatic dilatation was performed successively with a controlled radial expansion balloon dilator until a 1.8 cm diameter dilation was achieved. After conventional balloon dilatation, the

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“…Delayed perforation after therapeutic colonoscopy is a rare event; however, it is severe, and emergent surgery is the most common treatment for this situation, especially in the context of peritonitis[ 12 ]. With the development of endoscopic techniques[ 11 , 16 - 19 ], timely endoscopic closure may be a good option, if delayed perforation occurs in the patient’s fasting period with local peritonitis. In the present case, although there was no obvious perforation, peritonitis increased over time and conservative treatment was ineffective.…”

Section: Discussionmentioning

confidence: 99%

Delayed perforation after endoscopic resection of a colonic laterally spreading tumor: A case report and literature review

Zhou

Wang

et al. 2020

WJCC

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BACKGROUND Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) have been widely used for the treatment of early gastrointestinal cancer. Endoscopic piecemeal mucosal resection (EPMR) is derived from the combination of EMR and ESD. Delayed perforation with peritonitis after colonic EPMR is a rare but severe complication, sometimes requiring surgery. There are some associated risk factors, including patient- (location, diameter, and presence of fibrosis) and procedure-related factors. Early recognition and timely treatment are crucial for its management. CASE SUMMARY We report a case in which delayed perforation with peritonitis was treated using endoscopic closure. A 54-year-old man was diagnosed with a 30-mm-diameter laterally spreading tumor in the colonic hepatic curvature. Fifteen hours after endoscopic resection, peritonitis caused by delayed perforation occurred and gradually aggravated. Conservative treatment was ineffective and no obvious perforation was observed. After timely endoscopic closure, the patient was discharged on postoperative day 4. CONCLUSION In occasion of localized peritonitis aggravating without macroscopic perforation, endoscopic closure is an effective treatment for delayed perforation with stable vital signs in the early stage.

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EUS-guided recanalization of complete colorectal anastomotic stenosis using a lumen-apposing metal stent

Cited by 13 publications

References 3 publications

Progress in endoscopic treatment of hemorrhoids

Progress in endoscopic treatment of hemorrhoids

Endoscopic diagnosis and treatment of complete anastomosis stenosis after colorectal resection without protective ileostomy: report of two cases and literature review

Delayed perforation after endoscopic resection of a colonic laterally spreading tumor: A case report and literature review

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