Transanal Endoscopic Microsurgery - Endoscopy assisted treatment of colorectal anastomotic stenosis.

We present the case of a 36 year-old woman with a diagnosis of Hirschsprung Disease that was submitted to a modified Duhamel operation. A postoperative barium enema showed a complete stricture of the anastomosis that was impossible to resolve by flexible endoscopic approach. Then an intraoperative endoscopic approach to facilitate the localization of pre-anastomotic colon was performed by a small colotomy and the colonic recanalization was obtained by the creation of a neo-anastomosis by TEM, under fluoroscopic-endoscopic control. The patient underwent a control barium enema showing regular retrograde transit of contrast medium without evidence of stenosis. In our experience, transanal approach by TEM -Colonoscopy assisted is safe and feasible and represents a model of combined minimally invasive technique. PMID: 32178496 [PubMed - as supplied by publisher]
Source: Annals of Coloproctology - Category: Gastroenterology Tags: Ann Coloproctol Source Type: research