Anastomotic dehiscence after endoscopic mucosal resection

Abstract Text A 75-year-old man, with a history of colorectal anastomosis secondary to rectal cancer surgery was referred for endoscopic resection of a 9 cm LST-G (Is+IIa) located at 1 cm of the anal margin and occupying 1/3 of the bowel lumen. Mucosal and vessel pattern was mostly regular (JNET 2A), with depressed area over the anastomosis with biopsies showing high-grade dysplasia. Due to dificulty with the elevation of the lesion we proceeded with pEMR and STSC in detriment of ESD. One month later, we diagnosed an anastomotic dehiscence measuring 20x75mm. The decision was to perform a protective colostomy and endoluminal vacuum therapy and with 9 sessions in 1 month, the cavity downsized to 10x20mm and completely healed in 2 months Histology revealed carcinoma in situ. The patient is waiting for a follow up colonoscopy.

 

MissingLinkText

Conflicts of interest

Authors do not have any conflict of interest to disclose.

Publikationsverlauf

Artikel online veröffentlicht:
15. April 2024