title: Treatment of anastomotic stenosis and leakage after colorectal resection for cancer with self-expandable metal stents.
abstract: 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.
authors.affiliation: Department "Pietro Valdoni", Department "Paride Stefanini", Sapienza University of Rome, Rome, Italy.
authors.forename: Antonietta
authors.initials: A
authors.lastname: Lamazza
authors.affiliation: Department "Pietro Valdoni", Department "Paride Stefanini", Sapienza University of Rome, Rome, Italy.
authors.forename: Enrico
authors.initials: E
authors.lastname: Fiori
authors.affiliation: Department "Pietro Valdoni", Department "Paride Stefanini", Sapienza University of Rome, Rome, Italy.
authors.forename: Alberto
authors.initials: A
authors.lastname: Schillaci
authors.affiliation: Department "Pietro Valdoni", Department "Paride Stefanini", Sapienza University of Rome, Rome, Italy. Electronic address: antonio.sterpetti@uniroma1.it.
authors.forename: Antonio V
authors.initials: AV
authors.lastname: Sterpetti
authors.affiliation: Department "Pietro Valdoni", Department "Paride Stefanini", Sapienza University of Rome, Rome, Italy.
authors.forename: Emanuele
authors.initials: E
authors.lastname: Lezoche
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D057868:Anastomotic Leak / Q000628:therapy*; D003082:Colectomy; D003108:Colonic Diseases / Q000209:etiology / Q000628:therapy*; D003113:Colonoscopy; D015179:Colorectal Neoplasms / Q000601:surgery*; D003251:Constriction, Pathologic / Q000209:etiology / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy; D011446:Prospective Studies; D012007:Rectum / Q000601:surgery; D015607:Stents; D016896:Treatment Outcome
keywords: Colorectal cancer resection; Complications after colorectal resection for cancer; Self expandable metal stents for surgical complications