Self-expanding metallic stents in the treatment of benign colorectal anastomotic strictures: a word of caution.
A 66-year-old man underwent an anterior resection for carcinoma at the rectosigmoid junction. Three months later, a tight stricture developed proximal to the anastomosis. This was treated with a self-expanding metallic stent. Over the next few months, the stent fractured and a fistula developed between the site of anastomic stricture and the distal ileum; the stent had to be removed. This, to our knowledge, is the first report of a coloenteric fistula developing after insertion of a metallic stent to treat a benign postoperative anastomotic stricture.
Department of Surgery, Darent Valley Hospital, Dartford, Kent, DA2 8DA, UK. bmodarai@doctors.org.uk
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B
Modarai
M
M
Forshaw
M C
MC
Parker
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M
Stewart
D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects*; D003251:Constriction, Pathologic / Q000628:therapy*; D020878:Device Removal; D004868:Equipment Failure; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology*; D008297:Male; D008670:Metals; D012004:Rectal Neoplasms / Q000601:surgery*; D012811:Sigmoid Neoplasms / Q000601:surgery*; D012812:Sigmoidoscopy; D015607:Stents
D008670:Metals