Treatment of anastomotic stenosis and leakage after colorectal resection for cancer with self-expandable metal stents

被引：40

作者：

Lamazza, Antonietta ^{[1
]}

Fiori, Enrico ^{[1
]}

Schillaci, Alberto ^{[1
]}

Sterpetti, Antonio V. ^{[1
]}

Lezoche, Emanuele ^{[1
]}

机构：

[1] Univ Roma La Sapienza, Dept Paride Stefanini, Dept Pietro Valdoni, I-00185 Rome, Italy

来源：

AMERICAN JOURNAL OF SURGERY | 2014年 / 208卷 / 03期

关键词：

Colorectal cancer resection; Complications after colorectal resection for cancer; Self expandable metal stents for surgical complications; QUALITY-OF-LIFE; CLINICAL-EXPERIENCE; COLONIC STENOSIS; GROWTH-FACTOR; PLACEMENT; STRICTURES; OBSTRUCTION; MANAGEMENT; DILATION; SURGERY;

D O I：

10.1016/j.amjsurg.2013.09.032

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

BACKGROUND: Self-expandable metallic stents can be used to treat patients with symptomatic anastomotic complications after colorectal resection. METHODS: Twenty 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 with the stricture. RESULTS: The anastomotic leakage healed without evidence of residual stricture or major fecal incontinence in 8 of 10 patients. Overall, the anastomotic stricture was resolved in 14 of the 20 patients. CONCLUSIONS: Self-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. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：465 / 469

页数：5

共 25 条

[1] Abbas MA, 2009, JSLS-J SOC LAPAROEND, V13, P420
[2] Colonic stenting: a palliative measure only or a bridge to surgery?
Baron, T. H.
[J]. ENDOSCOPY, 2010, 42 (02) : 163 - 168
[3] Expression and regulation of connective tissue growth factor by transforming growth factor β and tumour necrosis factor α in fibroblasts isolated from strictures in patients with Crohn's disease
Beddy, D.
Mulsow, J.
Watson, R. W. G.
Fitzpatrick, J. M.
O'Connell, P. R.
[J]. BRITISH JOURNAL OF SURGERY, 2006, 93 (10) : 1290 - 1296
[4] Update on the indications and use of colonic stents
Bonin E.A.
Baron T.H.
[J]. Current Gastroenterology Reports, 2010, 12 (5) : 374 - 382
[5] Colorectal anastomotic strictures: Treatment by fluoroscopic double balloon dilation
Di, ZH
Shin, JH
Kim, JH
Song, HY
[J]. JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2005, 16 (01) : 75 - 80
[6] Dohmoto M., 1991, ENDOSCOPICA DIGESTIV, V3, P1507
[7] Palliative management for patients with subacute obstruction and stage IV unresectable rectosigmoid cancer: colostomy versus endoscopic stenting: final results of a prospective randomized trial
Fiori, Enrico
Lamazza, Antonietta
Schillaci, Alberto
Femia, Silvia
DeMasi, Ercole
DeCesare, Alessandro
Sterpetti, Antonio V.
[J]. AMERICAN JOURNAL OF SURGERY, 2012, 204 (03) : 321 - 326
[8] Dilation of benign strictures in the esophagus and colon with the polyflex stent:: A case series study
Garcia-Cano, Jesus
[J]. DIGESTIVE DISEASES AND SCIENCES, 2008, 53 (02) : 341 - 346
[9] Stent placement for benign colonic stenosis: case report, review of the literature, and animal pilot data
Geiger, Timothy M.
Miedema, Brent W.
Tsereteli, Zurab
Sporn, Emanuel
Thaler, Klaus
[J]. INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 2008, 23 (10) : 1007 - 1012
[10] Self-expanding metal stents for treatment of anastomotic complications after colorectal resection
Lamazza, A.
Fiori, E.
De Masi, E.
Scoglio, D.
Sterpetti, A. V.
Lezoche, E.
[J]. ENDOSCOPY, 2013, 45 (06) : 493 - 495

← 1 2 3 →