Completely obstructed colorectal anastomosis: A new non-electrosurgical endoscopic approach before balloon dilatation

Figure 1 Endoscopic appearance of a totally occlusive web at the level of the anastomosis (A), and gastrografin enema showing complete obstruction at the rectal anastomosis (B, arrow).

Figure 2 Appearance of Artifon catheter at colonoscopy (A) and fluoroscopy (B).

Figure 3 Fluoroscopy showing adjacency of the distal colon and proximal rectum, dye injection, guidewire insertion, progressive balloon dilatation, and restoration of colonic continuity.

Figure 4 Endoscopic images of guidewire insertion, progressive balloon dilatation, and successful destruction of the occlusive web.