Laparoscopic/endoscopic repair of rectal stricture

Although uncommon, anastomotic stricture after low anterior resection may require additional repair beyond dilatation. Two alternate approaches are described wherein laparoscopic and endoscopic techniques were utilized to avoid repeat pelvic surgery in two cases. These can be used whether a stapled or hand-sewn approach was used for the initial anastomosis. Photo documentation demonstrates a widely patent anastomosis after repair. There is early return of bowel function by these methods, and long-term results (3 years) are excellent.