ReviewWorld journal of surgical oncology2022
Anastomotic occlusion after laparoscopic low anterior rectal resection: a rare case study and literature review.
Review in World journal of surgical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 12 citations in OpenAlex.
- Short- and Long-term Outcomes of 3-Row Vs 2-Row Circular Staplers for Low Colorectal Anastomosis After Total Mesorectal Excision: A Single-Center, Randomized, Single-Blind, Phase III Trial (THREESTAPLER Study).Diseases of the colon and rectum · 2026Trial
- Effectiveness of intraoperative stay sutures and postoperative anal dilatation in preventing anastomotic stricture after low rectal cancer resection with defunctioning stoma.BMC gastroenterology · 2026Trial
- Comparison of short-term outcomes among hand-sewn, stapled, and two-stage Turnbull-Cutait pull-through anastomoses in TaTME for low rectal cancer.Techniques in coloproctology · 2026Article
- EUS-guided rendezvous fistula creation for complete anastomotic stenosis after low anterior resection.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2025Article
- Article
- Endoscopic resection utilizing bilateral endoscopies for complete membranous anastomotic closure.Clinical endoscopy · 2025Article
- Recanalization of anastomotic occlusion following rectal cancer surgery using a rendezvous endoscopic technique with transillumination: A case report.World journal of gastroenterology · 2024Article
- A nomogram of anastomotic stricture after rectal cancer: a retrospective cohort analysis.Surgical endoscopy · 2024Article
- Treatment of anastomotic stricture after rectal cancer operation by magnetic compression technique: A case report.World journal of gastrointestinal surgery · 2024Article
- Fibrosis signature of anastomotic margins for predicting anastomotic stenosis in rectal cancer with neoadjuvant chemoradiotherapy and sphincter-preserving surgery.Gastroenterology report · 2024Article
Corrections and comments
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Authors and funding
11 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWith the development of laparoscopic techniques and the broad clinical application of various anastomotic types, anal-preserving low anterior rectal resection and ultra-low anterior rectal resection have been popularized. Some patients with rectal cancer have retained their anus and improved their quality of life. Nevertheless, the incidence of postoperative anastomotic stenosis remains high, and anastomotic occlusion is even rarer. CASE PRESENTATION: We report a case of anastomotic occlusion in a patient with rectal cancer, which occurred after undergoing laparoscopic low anterior rectal resection + prophylactic terminal ileal fistulation at our department. Under endoscopy, we used a small guidewire to break through the occluded anastomosis, thereby finding the lacuna. After endoscopic balloon dilation, digital anal dilatation, and continuous dilator-assisted dilation, the desired efficacy was achieved, ultimately recovering ileal stoma. Postoperative follow-up condition was generally acceptable, without symptoms like abdominal pain, bloating, or difficulty in defecation.
conclusionNumerous factors cause postoperative anastomotic stenosis in patients with rectal cancer. Complete occlusion of anastomosis occurs relatively rare in clinical practice, and is challenging to treat. This case was our first attempt to remove the anastomotic occlusion successfully, which avoided re-operation or pain from the permanent fistula.
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