Biodegradable stent insertion for ischaemic colorectal strictures: Tiger country

Gastrointestinal Intervention Pub Date : 2017-07-31 DOI:10.18528/GII160011

Pavan Najran, D. Mullan, H. Laasch

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引用次数: 1

Abstract

We describe our initial experience with the use of biodegradable (BD) stents in benign ischemic colorectal strictures with two cases. The first case is of a 40-year-old male with a history of retroperitoneal sarcoma who developed a benign stricture in the descending colon postsurgical and radiotherapy treatment. Balloon dilation was required in order to pass the delivery system. The patient experienced significant pain postdeployment and post procedure computed tomography scan demonstrated a small perforation requiring an emergency laparotomy. The second case is a 61-year-old male with a history of retroperitoneal sarcoma who also developed an ischemic stricture in the descending colon after surgical excision. Using a combined fluoroscopic and endoscopic approach 3 separate BD stents were inserted over a 17-month period improving clinical symptoms of intermittent obstruction. These symptoms reoccurred after stent disintegration and the patient was definitively managed surgically with colostomy formation. The use of BD stents, although appealing, does not provide an adequate long term result. Additionally, more flexible, smaller calibre systems are required for deployment in tortuous environments. Copyright © 2017, Society of Gastrointestinal Intervention. All rights reserved.

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可生物降解支架置入治疗缺血性结直肠狭窄：Tiger country

我们描述了我们在两例良性缺血性结直肠狭窄中使用可生物降解（BD）支架的初步经验。第一例是一名40岁的男性，有腹膜后肉瘤病史，在手术和放疗后降结肠出现良性狭窄。需要球囊扩张才能通过输送系统。患者在术后出现明显疼痛，术后计算机断层扫描显示有小穿孔，需要紧急剖腹手术。第二个病例是一名61岁的男性，有腹膜后肉瘤病史，手术切除后降结肠也出现缺血性狭窄。使用荧光镜和内窥镜联合方法，在17个月内插入3个单独的BD支架，改善间歇性梗阻的临床症状。支架崩解后，这些症状再次出现，患者最终通过结肠造口术得到治疗。BD支架的使用虽然很有吸引力，但并不能提供足够的长期结果。此外，在曲折的环境中部署需要更灵活、更小口径的系统。版权所有©2017，胃肠道干预学会。保留所有权利。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gastrointestinal Intervention

自引率

0.00%

发文量

审稿时长

24 weeks

期刊介绍： IJGII (pISSN 2636-0004, eISSN 2636-0012) was published four times a year on the last day of January, April, July, and October, which has effected from January 1 in 2019. This Journal was first published biannually on June and December, beginning in December 2012 under the title ‘Gastrointestinal Intervention’ (former pISSN 2213-1795, eISSN 2213-1809) and was changed to be published three times a year from 2016. Commencing with the January 2019 issue, the Journal was renamed ‘International Journal of Gastrointestinal Intervention’. As the official journal of the Society of Gastrointestinal Intervention (SGI), International Journal of Gastrointestinal Intervention (IJGII) delivers original, peer-reviewed articles for gastroenterologists, interventional radiologists, surgeons, gastrointestinal oncologists, nurses and technicians who need current and reliable information on the interventional treatment of gastrointestinal and hepatopancreaticobiliary diseases. Regular features also include ‘state-of-the-art’ review articles by leading authorities throughout the world. IJGII will become an international forum for the description and discussion of the various aspects of interventional radiology, endoscopy and minimally invasive surgery.