Self‐expandable metal stents in the treatment of benign anastomotic stricture after rectal resection for cancer

Lamazza, Antonietta; Fiori, Enrico; Sterpetti, Antonio V.; Schillaci, Alberto; Scoglio, Daniele; Lezoche, Emanuele

doi:10.1111/codi.12488

Cited by 48 publications

(27 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Especially when a stricture is located in the rectum, it may cause severe symptoms, for which several therapeutic options are available: endoscopic balloon dilation (EBD) [2], placement of a self-expandable metal stent [3], revisional surgery, and palliative colostomy. However, the best treatment has yet to be determined.…”

mentioning

confidence: 99%

Endoscopic radial incision and cutting method for refractory stricture of a rectal anastomosis after surgery

et al. 2015

View full text Add to dashboard Cite

mentioning

confidence: 99%

Endoscopic radial incision and cutting method for refractory stricture of a rectal anastomosis after surgery

et al. 2015

View full text Add to dashboard Cite

“…Conventional approaches involve antibiotics, bowel rest, percutaneous drainage of collections and surgical drainage with stoma creation in the context of excessive peritoneal contamination [17]. An increasing number of reports indicate the efficacy of self-expandable metallic stents in the treatment of malign and benign obstructive colorectal diseases and postoperative fistulas [18][19][20][21]. DiMaio et al [10] concluded after their small case series that they had an 80% stenting success rate following lower digestive tract surgery.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic approach to anastomotic leaks: partially covered self-expandable stents. A single center’s experience

Aday¹,

Duman²,

Deđer³

et al. 2017

Arch Med Sci Civil Dis

View full text Add to dashboard Cite

A b s t r a c tIntroduction: Anastomotic leakage is an important and undesirable major complication after upper and lower gastrointestinal surgery. This complication can lead to significant morbidity and mortality and prolonged hospital stay. The objective of this study was to evaluate the safety and technical and clinical outcomes of temporary partially covered self-expandable metallic stent (PCSEMS) placement for treating anastomotic leaks after gastrointestinal tract surgery. Material and methods: Medical records of 9 patients who had undergone partial covered self-expandable esophageal or colonic stenting either for colorectal anastomotic leak or esophageal anastomotic leak in Kartal Kosuyolu Higher Specialty Training and Research Hospital between April 2012 and October 2015 were collected. Living patients were recalled for the policlinic follow-up and recent status was recorded. Results: The mean age was 57 (37-78) years. Six of the patients were male and 3 of them female. Stents were successfully placed in all patients in the fistula localization on the first attempt. Stent migration was encountered in 3 patients and restenting was performed in 2 of these patients. No complications were seen related to the indwelling stents. Stent treatment failure occurred in 2 of the 9 patients. The mean removal time of the stent was 43 (5-70) days and it was not possible to get the stent out in 1 patient. Conclusions: Endoscopic stenting is a minimally invasive and highly effective procedure that gives promise for the treatment of fistula after digestive surgery in the future.

show abstract

“…In this study, SEMS and balloon dilatation were used to complement each other. However, stents are prone to migration, pressure necrosis, perforation and bleeding, and when placed in the distal rectum they may not be tolerated by the patient [2]. Baatrup et al [8] have reported management of six cases of rectal stricture by transanal endoscopic microsurgery (TEM).…”

Section: Discussionmentioning

confidence: 99%

Transanal anorectal stricturoplasty using the Heineke–Mikulicz principle: a novel technique

et al. 2016

View full text Add to dashboard Cite

show abstract

Self‐expandable metal stents in the treatment of benign anastomotic stricture after rectal resection for cancer

Abstract: Self-expandable metal stents represent a valid alternative to balloon dilatation to treat patients with benign symptomatic anastomotic stricture after colorectal resection for cancer.

Cited by 48 publications

References 25 publications

Endoscopic radial incision and cutting method for refractory stricture of a rectal anastomosis after surgery

Endoscopic radial incision and cutting method for refractory stricture of a rectal anastomosis after surgery

Endoscopic approach to anastomotic leaks: partially covered self-expandable stents. A single center’s experience

Transanal anorectal stricturoplasty using the Heineke–Mikulicz principle: a novel technique

Contact Info

Product

Resources

About