Anastomotic stricture is an increasingly common clinical finding. It is thought to arise because of ischemia, disruption, or leakage at an anastomosis site. Its management can be difficult and strictures often are resistant to standard dilation therapy. Major corrective surgery is possible; however, it is technically challenging and not without risk. We have used a circular stapler to excise colorectal strictures, introducing the anvil of the stapler via a proximal stoma or colotomy, drawing the anvil through the stricture with a snare via a colonoscope and affixing it to the body of a circular staple gun and excising the stricture. We have with found this to be an effective treatment in appropriately selected patients.
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Reprint requests to: J.R.E. Rees, MRC Cancer Cell Unit, Hutchison/MRC Research Centre, Hills Road, CB2 2XZ, Cambridge, UK. Email: jrer@hutchison-mrc.cam.ac.uk
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Rees, J., Carney, L., Gill, T. et al. Management of Recurrent Anastomotic Stricture and Iatrogenic Stenosis by Circular Stapler. Dis Colon Rectum 47, 944–947 (2004). https://doi.org/10.1007/s10350-004-0518-y
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DOI: https://doi.org/10.1007/s10350-004-0518-y