Colon Stricture After Ischemia Following a Robot-Assisted Ultra-Low Anterior Resection With Coloanal Anastomosis
Annals of Coloproctology
;
: 157-162, 2015.
Article
in English
| WPRIM
| ID: wpr-115937
ABSTRACT
Four consecutive cases of a colonic stricture following a da Vinci robot-assisted ultra-low anterior resection (LAR) with coloanal anastomosis and diverting ileostomy for the treatment of rectal cancer are reported. The colonic strictures developed after early proximal colonic ischemia without anastomotic site leakage or disruption. All patients were treated with preoperative chemoradiation therapy. During the postoperative recovery period, patients developed colonic ischemia, presenting with a high, spiking fever, but without any symptoms of peritonitis. Patients were treated with conservative management (antibiotic therapy) and discharged after two weeks when in good condition. Several months after discharge, all four patients developed a long-segment colonic stricture from the anastomosis site to the distal colon. Management of the colon strictures, including the anastomotic site, involved colonic dilation with a Hegar dilator in an outpatient clinic for several months. The ileostomies in three patients could not be closed.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Peritonitis
/
Rectal Neoplasms
/
Ileostomy
/
Colon
/
Constriction, Pathologic
/
Fever
/
Ambulatory Care Facilities
/
Ischemia
Limits:
Humans
Language:
English
Journal:
Annals of Coloproctology
Year:
2015
Type:
Article
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