LAPAROSCOPY-ASSISTED ENDOSCOPIC BOWEL ANASTOMOSIS STENOSIS REVISION WITH STAPLER - REPORT OF 2 CASES

Anastomosis stenosis is a complication after bowel surgery. We perform ed laparoscopy-assisted endoscopic revision of bowel anastomosis steno sis with a stapler in two cases: first, for secondary anastomosis sten osis 14 months after sigmoid colon resection, and second, for inadequa te-size primary anastomosis after segmental colon resection requiring immediate revision. A stapler, an endoscopic linear cutter Endopath ET S (Ethicon Endo-Surgery, Cincinnati, Ohio, U.S.A.), is transanally ins erted and fired once into the stricture to enlarge the inner lumen. Th e procedure seems to be fast and safe, less invasive, and cost-effecti ve. This new technique can be used to avoid open surgery in cases of p ostoperative anastomosis stenosis as well as initially to increase the anastomosis diameter of the lower colon.