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Updated: Aug 2, 2025

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
EUS-guided management of anastomotic stricture: A case report
Tim N Beck1, Emidio Germano Da Silva Neto1, Talia Burneikis1
1Department of General Surgery, Cleveland Clinic, Cleveland, OH, USA.
Introduction And Importance:
Anastomotic stenosis after low anterior resection is a serious complication and at times even requires surgical revision of the anastomosis.
Case Presentation And Clinical Discussion:
The patient presented with a 4.0 cm tubulovillous adenoma of the proximal rectum and underwent low anterior resection with loop ileostomy and subsequent reversal. The case was complicated by complete anastomotic stenosis. A novel technique was utilized to create an Endoscopic Ultrasound (EUS)-guided neo-anastomosis endoscopically.
Conclusion:
EUS-guided creation of a neo-colorectal anastomosis is a safe and effective alternative to surgical anastomosis revision of a completely stenosed anastomosis.
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