Question 448

0

A 54-year-old woman presents 6 months after a sigmoid partial colectomy performed for diverticular disease. She describes increasing symptoms of abdominal pain, constipation, and cramping. Endoscopy shows narrowing at the level of the colorectal anastomosis (see figures below).

Descriptive text is not available for this image

Descriptive text is not available for this image

The most appropriate next step in management is

There's more to see -- the rest of this topic is available only to subscribers.