Endoscopy 2015; 47(03): 270-272
DOI: 10.1055/s-0034-1391403
Case series
© Georg Thieme Verlag KG Stuttgart · New York

Endoscopic placement of self-expanding stents in patients with symptomatic anastomotic leakage after colorectal resection for cancer: long-term results

Antonietta Lamazza
Policlinico Umberto I, University of Rome La Sapienza, Rome, Italy
,
Antonio V. Sterpetti
Policlinico Umberto I, University of Rome La Sapienza, Rome, Italy
,
Alessandro De Cesare
Policlinico Umberto I, University of Rome La Sapienza, Rome, Italy
,
Alberto Schillaci
Policlinico Umberto I, University of Rome La Sapienza, Rome, Italy
,
Angelo Antoniozzi
Policlinico Umberto I, University of Rome La Sapienza, Rome, Italy
,
Enrico Fiori
Policlinico Umberto I, University of Rome La Sapienza, Rome, Italy
› Author Affiliations
Further Information

Publication History

submitted 04 November 2014

accepted after revision 07 December 2014

Publication Date:
10 February 2015 (online)

Anastomotic leak after colorectal resection for cancer is a challenging clinical problem. The postoperative quality of life in these situations is significantly impaired. We prospectively analyzed the effect of placing a self-expanding metal stent (SEMS) at the level of the leak, with or without proximal diverting ileostomy, in 22 patients with symptomatic anastomotic leakage after colorectal resection. The stents were placed successfully in all 22 patients. An proximal ileostomy was created in 15 patients under general anesthesia. The anastomotic leak healed, without evidence of residual stricture or major incontinence, in 19 patients (86 %). In 3 patients, the leak did not heal; in 2 patients with recurrent rectovaginal fistula, the size of the leak decreased significantly, allowing successful flap transposition; and only 1 patient required a permanent stoma. SEMS placement is a valid adjunct to the treatment of patients with symptomatic anastomotic leakage after colorectal resection.