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Endoscopic transanal rectal stricturoplasty

M Anvari1

  • 1Department of Surgery, St. Joseph's Hospital, McMaster University, Hamilton, Ontario, Canada.

Surgical Laparoscopy & Endoscopy
|July 2, 1998
PubMed
Summary
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Endoscopic transanal rectal stricturoplasty offers a safe and effective outpatient solution for benign rectal strictures. This minimally invasive technique successfully treated two patients who previously failed balloon dilation for stapled anastomosis strictures.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Rectal strictures, particularly at the site of previous colorectal stapled anastomosis, can significantly impact patient quality of life.
  • Failure to respond to conservative treatments like balloon dilatation necessitates alternative therapeutic approaches.

Observation:

  • Two patients with refractory benign rectal strictures underwent endoscopic transanal rectal stricturoplasty.
  • The procedure utilized a transanal laparoscopic linear cutter, with visualization via colonoscopy in one case and transanal laparoscopy in the other.
  • Operating times were brief (65 and 59 minutes), with no intraoperative complications.

Findings:

  • Both patients experienced successful stricture resolution and remained asymptomatic at 7 and 9 months post-procedure.
  • Follow-up colonoscopy confirmed patent anastomoses in both individuals.

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  • The technique demonstrated a favorable safety profile and efficacy in managing benign rectal strictures.

    • Implications:

    • Endoscopic transanal rectal stricturoplasty represents a viable, minimally invasive alternative for treating complex benign rectal strictures.
    • Its outpatient feasibility suggests potential for reduced healthcare costs and improved patient convenience.
    • This approach may offer a valuable option for patients who have failed less invasive treatments.