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      • Record: found
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      EUS-guided management of anastomotic stricture: A case report

      case-report

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          Abstract

          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.

          Highlights

          • •

            Anastomotic stenosis after low anterior resection (LAR) is a serious complication.

          • •

            Resection and reanastomosis of stenotic region may be necessary.

          • •

            Endoscopic Ultrasound (EUS)-guided creation of a neo-colorectal anastomosis is a viable alternative.

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          Most cited references9

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          The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines

          Riaz Agha, Thomas Franchi, Catrin Sohrabi … (2020)
          The SCARE Guidelines were first published in 2016 and were last updated in 2018. They provide a structure for reporting surgical case reports and are used and endorsed by authors, journal editors and reviewers, in order to increase robustness and transparency in reporting surgical cases. They must be kept up to date in order to drive forwards reporting quality. As such, we have updated these guidelines via a DELPHI consensus exercise.
          Article 0 comments Cited 4651 times – based on 0 reviews     Review now
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            Management of benign anastomotic strictures following rectal resection: a systematic review.

            Rachael Elizabeth Clifford, Hayley Fowler, Nicola Manu … (2021)
            Benign anastomotic strictures following colorectal surgical resection are a commonly under-reported complication in up to 30% of patients, with a significant impact upon quality of life. In this systematic review, we aim to assess the utility of endoscopic techniques in avoiding the need for surgical reintervention.
            Article 0 comments Cited 10 times – based on 0 reviews     Review now
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              • Record: found
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              EUS-guided recanalization of a complete rectal anastomotic stenosis by use of a lumen-apposing metal stent.

              Joan Gornals, Gino Albines, Loris Trenti … (2015)
              Article 0 comments Cited 5 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Tim N. Beck
                Journal
                Journal ID (nlm-ta): Int J Surg Case Rep
                Journal ID (iso-abbrev): Int J Surg Case Rep
                Title: International Journal of Surgery Case Reports
                Publisher: Elsevier
                ISSN (Electronic): 2210-2612
                Publication date PMC-release: 15 April 2023
                Publication date Collection: May 2023
                Publication date (Electronic): 15 April 2023
                Volume: 106
                Electronic Location Identifier: 108220
                Affiliations
                [a ]Department of General Surgery, Cleveland Clinic, Cleveland, OH, USA
                [b ]Department of Colon and Rectal Surgery, Cleveland Clinic, Cleveland, OH, USA
                [c ]Department of Gastroenterology, Cleveland Clinic, Cleveland, OH, USA
                Author notes
                [* ]Corresponding author at: Cleveland Clinic, Cleveland, OH 44195, USA. Beckt2@ 123456ccf.org
                [1]

                These authors contributed equally and are co-first authors.

                Article
                Publisher Item ID: S2210-2612(23)00348-6 Publisher ID: 108220
                DOI: 10.1016/j.ijscr.2023.108220
                PMC ID: 10130204
                PubMed ID: 37071956
                SO-VID: 2aef2929-62aa-43a6-982f-cffaf5f4e9c8
                Copyright © © 2023 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.
                License:

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                Date received : 5 February 2022
                Date revision received : 28 February 2023
                Date accepted : 1 March 2023
                Categories
                Subject: Case Report

                Keywords: endoscopic ultrasound,colorectal anastomosis,low anterior resection,colonic adenoma,anastomotic stenosis,endoscopy
                Data availability:
                Keywords: endoscopic ultrasound, colorectal anastomosis, low anterior resection, colonic adenoma, anastomotic stenosis, endoscopy

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