Duodenal Stenting in Complicated Crohn's Disease: Novel Management of Complete Discontinuity of the Small Bowel.

Abstract

A 22-year-old man with complicated Crohn's disease was admitted for proctocolectomy and ileostomy. He experienced many postoperative complications which resulted in a complete loss of continuity of the small bowel at the duodenum. To prevent leakage of bowel contents into the peritoneum, a covered colonic stent was deployed across the discontinuous sections of bowel via a combined endoscopic and surgical approach. This resulted in the formation of an enteroenteric fistula between the previously discontinuous section of small bowel, which was later removed surgically. Our case details the novel use of enteral stenting to manage complete discontinuity of the small bowel.