MAKING AND ENDOSCOPIC ULTRASONOGRAFIC GUIDED COLO-RECTAL NEO-ANASTOMOSIS: THE CLOSE ENCOUNTER OF TWO LIGHTS

A 75 years-old female underwent anterior resection for rectosigmoid adenocarcinoma 3 months ago with the appearance of anastomotic leak so a loop ileostomy was made. During follow-up colonoscopy, an insurmountable anastomotic stricture was observed. Due to this finding, patient was referred to our center. We performed a transanal colonoscopy where a close anastomosis at 3-4cm from pectinate line was identified and other colonoscopy through stoma till the anastomosis where only a blind hole was observed. After many attempts to pass the guidewire through both anastomotic sides and patient’s refuse to surgery, an endoscopic ultrasonographic guided colorectal neo-anastomosis was made.

Publication History

Article published online:
14 April 2022