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

BACKGROUND: Strictures of low colorectal anastomosis are increasing by use the anastomotic stapler. There are many kinds of treatments like dilation, transanal rectotomy, and resection with linear or circular stapler. Other methods includes endoscopic knifes, absorbable sutures and laparotomy. The Transanal Endoscopic Microsurgery (TEM) has been used to treat postoperative anastomotic stenosis. CASES REPORT: Three cases of anastomotic strictures after low colorectal anastomosis were treated with TEM with success in medium follow-up. They had a good postoperative evolution without recurrence of symptoms and stenosis. CONCLUSION: The new TEM surgical approach seems to be a safe choice for the treatment of the postoperative colorectal stenosis.

Détails bibliographiques

Auteurs principaux:	Moraes,Roberto da Silveira, Buess,Gerhard, Lima,João Henrique Felício de, Morgenstern,Glauco Afonso, Schulz,Gustavo Justo, Campos,Antônio Carlos Ligocki, Coelho,Júlio Cezar Uili
Format:	Digital revista
Langue:	English
Publié:	Colégio Brasileiro de Cirurgia Digestiva 2008
Accès en ligne:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202008000300013
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