Treatment of a stenotic colorectal anastomosis by transanal use of an endoscopic stapler

Abstract

18 Sultan AH, Kamm MA, Hudson CN, Bartram CI. Anal sphincter disruption in 32% of vaginal deliveries: prospective ultrasound study. Gur 1992; 1: S66. 19 Parks AG. Post-anal perineorrhaphy for rectal prolapse. Proc R Soc Med 1967; 60: 44-5. 20 Neil1 ME, Parks AG, Swash M. Physiological studies of the anal sphincter musculature in faecal incontinence and rectal prolapse. 21 Henry MM, Parks AG, Swash M. The pelvic floor musculature in the descending perineum syndrome. Er J Surg 1982; 69: 470-2. 22 Rogers J. Laurberg S, Misiewicz JJ, Henry MM, Swash M. Br J Surg 1981; 68: 531-6. Anorectal physiology validated: a repeatability study of the motor and sensory tests of anorectal function. Er JSurg 1989; 7 6 607-9. 23 Farthing MJG, Lennard-Jones JE. Sensibility of the rectum to distension and the anorectal distension reflex in ulcerative colitis. 24 Roe AM, Bartolo DCC, Mortensen NJMcC. New method for assessment of anal sensation in various anorectal disorders. Br J 25 Laurberg S, Swash M, Henry MM. E5ect of postanal repair on progress of neurogenic damage to the pelvic floor. Er J Surg 1990,Endoscopic staplers have been developed primarily for use in laparoscopic surgery, but an alternative application of such an instrument is reported.

Transanal endoscopic microsurgery (TEM) in the treatment of postoperative colorectal stenosis

“…Lausten 8 and Rodrigues 14 used an EEA stapling device in strictures after Hartmann's operation. Morrison Jr. and Jacobs reported two cases of anastomotic stricture widening with linear stapler ETS by transanal access 13 .…”

A new technique for intestinal isoperistaltic anastomosis utilizing a linear stapler for enlargement after anastomosis performed with a circular stapler

“…Articles describing the use of a linear stapler to enlarge the anastomotic opening made with a circular stapler have been published [6,8,9]. The basic procedure is first to make an end-to-side anastomosis with a circular stapler.…”

Usefulness of Flexible Colonoscopic Microwave Coagulation Therapy for a Colorectal Anastomotic Stricture

“…[28][29][30][31][32] Several colorectal dilatation instruments have been described for the treatment of these strictures under direct vision. 2,[9][10][11][12][13][14][15][16][17] The advantages of the endoscopic therapy are that the endoscopic and biopsy evaluation can ascertain the diameter of the stricture and rule out the presence of a recurrent carcinoma at the anastomotic site. Nevertheless, it has been reported that repeated dilation often has been needed for the restricture.…”

“…[2][3][4][5][6][7][8] Dilatation is the only treatment and is used variously with techniques, such as flexible, balloon dilators and stapler cutter. 2,3,[9][10][11][12][13][14][15][16][17][18][19][20][21] Recent reports have advocated a variety of endoscopic techniques for the management of colorectal anastomotic strictures. 4,[9][10][11][12][13][14]18,19 A microwave coagulation method has been adapted for use with endoscopes.…”

“…2,3,[9][10][11][12][13][14][15][16][17][18][19][20][21] Recent reports have advocated a variety of endoscopic techniques for the management of colorectal anastomotic strictures. 4,[9][10][11][12][13][14]18,19 A microwave coagulation method has been adapted for use with endoscopes. Endoscopic microwave coagulation has proved to be safe and simple to perform and has allowed us to obtain good clinical results in the treatment of bleeding peptic ulcers and hepatocellular carcinoma.…”