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Radial incision and cutting method using a transanal approach for treatment of anastomotic strictures following rectal cancer surgery: a case report

BACKGROUND: Development of an anastomotic stricture following rectal cancer surgery is not uncommon. Such strictures are usually managed by manual or instrumental dilatation techniques that are often insufficiently effective, as evidenced by the high recurrence rate. Various surgical procedures usin...

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Autores principales: Nepal, Pramod, Mori, Shinichiro, Kita, Yoshiaki, Tanabe, Kan, Baba, Kenji, Uchikado, Yasuto, Kurahara, Hiroshi, Arigami, Takaaki, Sakoda, Masahiko, Maemura, Kosei, Natsugoe, Shoji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419360/
https://www.ncbi.nlm.nih.gov/pubmed/30871591
http://dx.doi.org/10.1186/s12957-019-1592-x
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author Nepal, Pramod
Mori, Shinichiro
Kita, Yoshiaki
Tanabe, Kan
Baba, Kenji
Uchikado, Yasuto
Kurahara, Hiroshi
Arigami, Takaaki
Sakoda, Masahiko
Maemura, Kosei
Natsugoe, Shoji
author_facet Nepal, Pramod
Mori, Shinichiro
Kita, Yoshiaki
Tanabe, Kan
Baba, Kenji
Uchikado, Yasuto
Kurahara, Hiroshi
Arigami, Takaaki
Sakoda, Masahiko
Maemura, Kosei
Natsugoe, Shoji
author_sort Nepal, Pramod
collection PubMed
description BACKGROUND: Development of an anastomotic stricture following rectal cancer surgery is not uncommon. Such strictures are usually managed by manual or instrumental dilatation techniques that are often insufficiently effective, as evidenced by the high recurrence rate. Various surgical procedures using minimally invasive approaches have also been reported. One of these procedures, endoscopic radial incision and cutting (RIC), has been extensively reported. However, RIC by transanal minimally invasive surgery (TAMIS) is yet to be reported. We here report a novel application of TAMIS for performing RIC for anastomotic rectal stenosis. CASE PRESENTATION: A 67-year-old man had suffered from constipation for 6 years after undergoing low anterior resection for stage II rectal cancer 7 years ago. Colonoscopy showed a 1-cm diameter stricture in the lower rectum. Balloon dilatation was performed many times because of repeated recurrences. Thus, surgical management was considered and the stricture was successfully excised via a RIC method using a TAMIS approach. Postoperatively, the patient had minimal leakage that resolved with conservative treatment. CONCLUSIONS: A RIC method using a TAMIS approach is an effective minimally invasive means of managing anastomotic strictures following rectal cancer surgery.
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spelling pubmed-64193602019-03-27 Radial incision and cutting method using a transanal approach for treatment of anastomotic strictures following rectal cancer surgery: a case report Nepal, Pramod Mori, Shinichiro Kita, Yoshiaki Tanabe, Kan Baba, Kenji Uchikado, Yasuto Kurahara, Hiroshi Arigami, Takaaki Sakoda, Masahiko Maemura, Kosei Natsugoe, Shoji World J Surg Oncol Case Report BACKGROUND: Development of an anastomotic stricture following rectal cancer surgery is not uncommon. Such strictures are usually managed by manual or instrumental dilatation techniques that are often insufficiently effective, as evidenced by the high recurrence rate. Various surgical procedures using minimally invasive approaches have also been reported. One of these procedures, endoscopic radial incision and cutting (RIC), has been extensively reported. However, RIC by transanal minimally invasive surgery (TAMIS) is yet to be reported. We here report a novel application of TAMIS for performing RIC for anastomotic rectal stenosis. CASE PRESENTATION: A 67-year-old man had suffered from constipation for 6 years after undergoing low anterior resection for stage II rectal cancer 7 years ago. Colonoscopy showed a 1-cm diameter stricture in the lower rectum. Balloon dilatation was performed many times because of repeated recurrences. Thus, surgical management was considered and the stricture was successfully excised via a RIC method using a TAMIS approach. Postoperatively, the patient had minimal leakage that resolved with conservative treatment. CONCLUSIONS: A RIC method using a TAMIS approach is an effective minimally invasive means of managing anastomotic strictures following rectal cancer surgery. BioMed Central 2019-03-14 /pmc/articles/PMC6419360/ /pubmed/30871591 http://dx.doi.org/10.1186/s12957-019-1592-x Text en © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Nepal, Pramod
Mori, Shinichiro
Kita, Yoshiaki
Tanabe, Kan
Baba, Kenji
Uchikado, Yasuto
Kurahara, Hiroshi
Arigami, Takaaki
Sakoda, Masahiko
Maemura, Kosei
Natsugoe, Shoji
Radial incision and cutting method using a transanal approach for treatment of anastomotic strictures following rectal cancer surgery: a case report
title Radial incision and cutting method using a transanal approach for treatment of anastomotic strictures following rectal cancer surgery: a case report
title_full Radial incision and cutting method using a transanal approach for treatment of anastomotic strictures following rectal cancer surgery: a case report
title_fullStr Radial incision and cutting method using a transanal approach for treatment of anastomotic strictures following rectal cancer surgery: a case report
title_full_unstemmed Radial incision and cutting method using a transanal approach for treatment of anastomotic strictures following rectal cancer surgery: a case report
title_short Radial incision and cutting method using a transanal approach for treatment of anastomotic strictures following rectal cancer surgery: a case report
title_sort radial incision and cutting method using a transanal approach for treatment of anastomotic strictures following rectal cancer surgery: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419360/
https://www.ncbi.nlm.nih.gov/pubmed/30871591
http://dx.doi.org/10.1186/s12957-019-1592-x
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