Endoscopic suture-based closure of a dehiscent rectal stump [E-Video]
- Lower anterior rectal resection (LAR) with discontinuity resection is performed to avoid leakage of the colorectal anastomosis in high risk patients [1]. Unfortunately, rectal stump leakage can occur, and reoperation is associated with high morbidity and mortality. Endoscopic techniques, such as rinsing or vacuum-based therapy, have shown promising results in rectal leak management [2]. Recently, various endoscopic suture-based techniques have been introduced to facilitate gastrointestinal defect closure and leak or fistula management [3]. We describe the case of a 66-year-old man with rectal stump leakage, presenting to our unit 12 days after LAR and discontinuity resection. We opted for a two-step approach with initial suturing of the large post-surgical defect using the through-the-scope X-Tack Endoscopic HeliX Tacking System (Apollo Endosurgery, Austin, Texas, USA) ([Video 1]).
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| Author: | Alanna EbigboORCiDGND, Julia WanzlGND, Shimaa Afify, Sandra NaglORCiDGND, Helmut MessmannORCiDGND |
|---|---|
| URN: | urn:nbn:de:bvb:384-opus4-1209865 |
| Frontdoor URL | https://opus.bibliothek.uni-augsburg.de/opus4/120986 |
| ISSN: | 0013-726XOPAC |
| ISSN: | 1438-8812OPAC |
| Parent Title (English): | Endoscopy |
| Publisher: | Georg Thieme |
| Place of publication: | Stuttgart |
| Type: | Article |
| Language: | English |
| Year of first Publication: | 2024 |
| Publishing Institution: | Universität Augsburg |
| Release Date: | 2025/04/08 |
| Volume: | 56 |
| Issue: | S 01 |
| First Page: | E381 |
| DOI: | https://doi.org/10.1055/a-2304-8401 |
| Institutes: | Medizinische Fakultät |
| Medizinische Fakultät / Universitätsklinikum | |
| Medizinische Fakultät / Lehrstuhl für Innere Medizin mit Schwerpunkt Gastroenterologie | |
| Dewey Decimal Classification: | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit |
| Licence (German): |  CC-BY 4.0: Creative Commons: Namensnennung (mit Print on Demand) |
