Transanal Endoscopic Microsurgery - Endoscopy assisted treatment of colorectal anastomotic stenosis
Transanal Endoscopic Microsurgery (TEM) is a type of NOTES, developed for rectal tumors and used also to treat other rectal diseases. Anastomotic complications after colorectal surgery, including stenosis, represent a challenging problem. We present the case of a 36 year-old woman with a diagnosis of Hirschsprung Disease that was submitted to a modified Duhamel operation. A postoperative barium enema showed a complete stricture of the anastomosis that was impossible to resolve by flexible endoscopic approach.