Self-expanding metal stents for treatment of anastomotic complications after colorectal resection

A. Lamazza; E. Fiori; E. De Masi; D. Scoglio; A. V. Sterpetti; E. Lezoche

doi:10.1055/s-0032-1326488

Endoscopy, Table of Contents

Endoscopy 2013; 45(06): 493-495
DOI: 10.1055/s-0032-1326488

Case report/series

Self-expanding metal stents for treatment of anastomotic complications after colorectal resection

Authors

A. Lamazza

Department of Surgery Pietro Valdoni and Department of Surgery Paride Stefanini, University of Rome La Sapienza, Rome, Italy
E. Fiori

Department of Surgery Pietro Valdoni and Department of Surgery Paride Stefanini, University of Rome La Sapienza, Rome, Italy
E. De Masi

Department of Surgery Pietro Valdoni and Department of Surgery Paride Stefanini, University of Rome La Sapienza, Rome, Italy
D. Scoglio

Department of Surgery Pietro Valdoni and Department of Surgery Paride Stefanini, University of Rome La Sapienza, Rome, Italy
A. V. Sterpetti

Department of Surgery Pietro Valdoni and Department of Surgery Paride Stefanini, University of Rome La Sapienza, Rome, Italy
E. Lezoche

Department of Surgery Pietro Valdoni and Department of Surgery Paride Stefanini, University of Rome La Sapienza, Rome, Italy

Abstract

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.

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References

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