title: Self-Expanding Metal Stenting in the Management of a Benign Colonic Stricture.
abstract: Colonic postanastomotic strictures occur in 1.5-8% of patients following colorectal surgery. Traditionally, colonic strictures were treated by multiple modalities including endoscopic dilatation. Self-expanding metal stents (SEMS) have been indicated in the management of benign colonic strictures; however, there are limited available data with regard to their efficacy. We present the case of a 68-year-old male who had perforated sigmoid diverticulitis followed by Hartmann's procedure with eventual reanastomosis 6 months later. He subsequently developed benign colonic stricture, which was treated with a metal stent. SEMS are associated with a low mortality rate and are appropriate in treating acute colonic obstruction as a result of benign stricture in the setting of postanastomosis.
authors.affiliation: Department of Medicine, SUNY Upstate Medical University, Syracuse, N.Y., USA.
authors.forename: Kegan
authors.initials: K
authors.lastname: Jessamy
authors.affiliation: Gastroenterology Division, Department of Medicine, SUNY Upstate Medical University, Syracuse, N.Y., USA.
authors.forename: Nuri
authors.initials: N
authors.lastname: Ozden
authors.affiliation: Department of Surgery, SUNY Upstate Medical University, Syracuse, N.Y., USA.
authors.forename: Howard M
authors.initials: HM
authors.lastname: Simon
authors.affiliation: Department of Medicine, SUNY Upstate Medical University, Syracuse, N.Y., USA.
authors.forename: Semaan
authors.initials: S
authors.lastname: Kobrossi
authors.affiliation: Department of Medicine, SUNY Upstate Medical University, Syracuse, N.Y., USA.
authors.forename: Ezinnaya
authors.initials: E
authors.lastname: Ubagharaji
keywords: Benign colonic stricture; Bowel obstruction; Self-expanding metal stent