Fully Covered Self-Expanding Metal Stents for Refractory Anastomotic Colorectal Strictures

Caruso, Angelo; Conigliaro, Rita; Manta, Raffaele; Manno, Mauro; Bertani, Helga; Barbera, C.; Mirante, V.G.; Frazzoni, Marzio

doi:10.1007/s00464-014-3785-2

Cited by 27 publications

(21 citation statements)

References 12 publications

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“…The high rate of recurrence of postsurgical strictures after balloon dilatation, around 25%, especially in long strictures, with a technique not exempt from complications, has led to multiple studies assessing the role of SEMS [15,[17][18][19][20], although all involved just a few patients.…”

Section: Endoscopy -Novel Techniques and Recent Advancementsmentioning

confidence: 99%

“…The immediate clinical efficacy reported in various studies ranges from 36 to 81% [15,17,[19][20][21] and improves with larger diameter stents [19]. However, they are associated with a high rate of complications, mainly migration in 19-63% of cases [17,19,21], which, if early, necessitates additional treatment of the stricture, reobstruction due to hyperplastic reaction in the extremes or stool impaction, necrosis due to pressure, bleeding, anal pain or perforation in up to 28% of cases.…”

Section: Endoscopy -Novel Techniques and Recent Advancementsmentioning

confidence: 99%

“…Three recent studies of covered metal stents for postsurgical strictures [19][20][21] report clinical success rates of 100, 100 and 81%, respectively, with long-term results of solving obstruction ranging from 53 to 70% after follow-up periods of 18-21 months.…”

Section: Endoscopy -Novel Techniques and Recent Advancementsmentioning

confidence: 99%

“…The disparity in the results makes it impossible to conclude that metal stents are a suitable option for first-line treatment of strictures in surgical anastomoses, though the results of some studies [19][20][21] suggest that fully covered metal stents could play a role in those cases that are refractory to treatment with dilatation.…”

Section: Endoscopy -Novel Techniques and Recent Advancementsmentioning

confidence: 99%

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Advances in the Treatment of Postsurgical Benign Colorectal Strictures

García¹,

Pedreño²,

DuránCampos³

et al. 2019

Endoscopy - Novel Techniques and Recent Advancements

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Postsurgical benign colorectal strictures occur in up to 20% of patients who undergo colon or rectal resection. Traditionally, treatment has been surgical, but recent decades have seen the growing importance of an endoscopic approach, particularly balloon dilatation, which is now considered the first-line treatment for these benign strictures. However, balloon dilatation is associated with a recurrence of the stricture in up to 25% of cases. When this arises, one can opt for surgery aimed at performing a reanastomosis; a new intestinal anastomosis may be technically complex or even impossible, which would result in the patient requiring a permanent colostomy, with its consequent negative impact on quality of life. Accordingly, different endoscopic approaches have been evaluated for strictures refractory to balloon dilatation, such as the implant of self-expanding metallic stents, biodegradable stents, or incisional therapy, with variable results in efficacy.

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Section: Endoscopy -Novel Techniques and Recent Advancementsmentioning

confidence: 99%

Section: Endoscopy -Novel Techniques and Recent Advancementsmentioning

confidence: 99%

Section: Endoscopy -Novel Techniques and Recent Advancementsmentioning

confidence: 99%

Section: Endoscopy -Novel Techniques and Recent Advancementsmentioning

confidence: 99%

See 2 more Smart Citations

Advances in the Treatment of Postsurgical Benign Colorectal Strictures

García¹,

Pedreño²,

DuránCampos³

et al. 2019

Endoscopy - Novel Techniques and Recent Advancements

View full text Add to dashboard Cite

show abstract

“… 2 According to current literature, considerable variation in efficacy of SEMS for the treatment of benign colorectal strictures has existed. 3 – 6 Disappointingly, Park et al . 1 show that, though the rates of initial clinical success and reobstruction were similar, the duration of patency was shorter for the SEMS group than the balloon dilatation group (2.0±0.6 months vs 65.5±13.3 months).…”

mentioning

confidence: 99%