1997 Volume 50 Issue 1 Pages 59-64
Recently, low anterior resection of rectal cancer by the use of the double stapling technique which preserves the anus, taking into consideration the safety of the auto suture technique and quality of life, has been actively performed.
On the other hand, there have been many reports on complications of this method, but there have been very few reports on therapy for anastomosis stenosis. A new therapy for anastomosis stenosis is reported.
A 43-year-old female underwent surgery in June 1995. In March 1996, she was admitted to our hospital with ileus. By colonoscopy, a diagnosis of anastomosis stenosis was made after low anterior resection using the double stapling technique. Ileus was caused by anastomosis stenosis. Colonoscopic retrograde bowel drainage(CRBD)was performed. Ileus and anastomosis stenosis were impoved by CRBD, because the drainage tube cut the anastomosis stenosis. Since CRBD is a very simple and effective therapy for ileus and anastomosis stenosis after low anterior resection using of double stapling technique, it should be tried first.
