Management of anastomotic leak after low anterior resection with transanal endoscopic microsurgical (TEM) debridement and repair | Zendy

Erica B. Sneider | Zendy; Justin A. Maykel | Zendy

Open Access

Management of anastomotic leak after low anterior resection with transanal endoscopic microsurgical (TEM) debridement and repair

Author(s) -

Erica B. Sneider,

Justin A. Maykel

Publication year - 2012

Publication title -

journal of surgical case reports

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.14

H-Index - 3

ISSN - 2042-8812

DOI - 10.1093/jscr/2012.9.1

Subject(s) - medicine , leak , anastomosis , surgery , stoma (medicine) , colostomy , debridement (dental) , environmental engineering , engineering

Anastomotic leak after low anterior resection (LAR) in patients with rectal cancer who have received neoadjuvant chemoradiation can be challenging to treat and can lead to the creation of a permanent stoma. We report the case of a post-operative anastomotic leak after a Baker-type anastomosis during a low anterior resection was successfully managed with transanal endoscopic microsurgical (TEM) debridement and repair. TEM can be a successful endoluminal alternative treatment in the management of anastomotic leak after LAR and can prevent the morbidity associated with re-exploration and colostomy.

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