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Treatment of Anastomotic Stenosis and Leakage After Colorectal Resection for Cancer with Self Expandable Metal Stents

Authors
  • Lamazza, Antonietta
  • Fiori, Enrico
  • Schillaci, Alberto
  • Sterpetti, Antonio V.
  • Lezoche, Emanuele
Type
Published Article
Journal
The American Journal of Surgery
Publisher
Elsevier
Publication Date
Jan 01, 2014
Accepted Date
Sep 09, 2013
Identifiers
DOI: 10.1016/j.amjsurg.2013.09.032
Source
Elsevier
Keywords
License
Unknown

Abstract

BackgroundSelf expandable metallic stents can be used to treat patients with symptomatic anastomotic complications after colorectal resection. Material and MethodsTwenty patients with symptomatic anastomotic stricture after colorectal resection were treated with endoscopic placement of a self expandable metal stent. Ten patients had “simple” anastomotic stricture. In the remaining 10 patients a leak was associated to the stricture. ResultsThe anastomotic leakage healed without evidence of residual stricture or major fecal incontinence in 8 out of 10 patients. Overall the anastomotic stricture was resolved in 14 out of the 20 patients. ConclusionsSelf expandable metal stents represent a valid adjunctive to treat patients with symptomatic anastomotic complications after colorectal resection for cancer. They have a complementary role to balloon dilatation in case of simple anastomotic stricture, and they improve the rate of healing when the stricture is associated with a leak.

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