Subscribe to RSS
DOI: 10.1055/s-0032-1326488
Self-expanding metal stents for treatment of anastomotic complications after colorectal resection
Publication History
submitted 13 October 2012
accepted after revision 07 February 2013
Publication Date:
03 June 2013 (online)
![](https://www.thieme-connect.de/media/endoscopy/201306/lookinside/thumbnails/10.1055-s-0032-1326488-1.jpg)
Self-expanding metal stents (SEMS) can be used to treat patients with symptomatic anastomotic complications after colorectal resection. In the present case series, 16 patients with symptomatic anastomotic stricture after colorectal resection were treated with endoscopic placement of SEMS. Seven patients had a “simple” anastomotic stricture and nine patients had a fistula associated with the stricture. The anastomotic fistula healed without evidence of residual stricture or major fecal incontinence in seven of the nine patients. Overall the anastomotic stricture was resolved in 10 of the 16 patients. SEMS placement represents a valid adjunctive to treatment in patients with symptomatic anastomotic complications after colorectal resection for cancer.
-
References
- 1 Dohmoto M. New method: endoscopic implantation of rectal stent in palliative treatment of malignant stenosis. Endosc Dig 1991; 3: 1507-1512
- 2 Tejero E, Mainar A, Fernandez L et al. New procedure for the treatment of colorectal neoplastic obstructions. Dis Colon Rectum 1994; 37: 1158-1159
- 3 Fiori E, Lamazza A, Schillaci A et al. Palliative management for patients with subacute obstruction and stage IV unresectable colorectal cancer. Colostomy vs Endoscopic stenting. Final results of a prospective randomized trial. Am J Surg 2012; 204: 321-326
- 4 Lamazza A, Fiori E, Schillaci A et al. Self expandable metal stents in patients with stage IV unresectable colorectal cancer. World J Surg 2012; 36: 2931-2936
- 5 Lamazza A, Fiori E, Schillaci A et al. A new technique for placement of a self-expanding metallic stent (SEMS) in patients with colon rectal obstruction: a prospective study of 43 patients. Surg Endosc 2013; 27: 1045-1048
- 6 Wholey MH, Levine EA, Ferral H et al. Initial clinical experience with colonic stent placement. Am J Surg 1998; 175: 194-197
- 7 Beddy D, Mulsow J, Watson RW et al. Expression and regulation of connective tissue growth factor by transforming growth factor beta and tumour necrosis factor alpha from fibroblasts isolated from strictures in patients with Crohn’s disease. Br J Surg 2006; 93: 1290-1293
- 8 Nguyen-Tang T, Huber O, Gervaz P et al. Long term quality of life after endoscopic dilatation of strictured colorectal or colocolonic anastomosis. Surg Endosc 2008; 22: 1660-1666
- 9 Di ZH, Shin JH, Kim JH et al. Colorectal anastomotic strictures treatment by fluoroscopic double balloon dilatation. J Vasc Interv Radiol 2005; 16: 75-80
- 10 Perez-Roòdan F, Gonzales-Carro P, Villafanez Garcia MC et al. Usefulness of biodegradable polydioxanone stents in the treatment of postsurgical colorectal strictures and fistulas. Endoscopy 2012; 44: 297-300