论文部分内容阅读
AIM:To assess the effectiveness of and complicationsassociated with metallic stent placement for treatment ofanastomotic colonic strictures.METHODS:A 46-year-old man underging two proceduresof surgery for perforation of descending colon due to atraffic accident presented with pain,abdominal distention,and inability to defecate.Single-contrast barium enemaradiograph showed a severe stenosis in the region ofsurgical anastomosis and the patient was too weak to acceptanother laparotomy.Under fluoroscopic and endoscopicguidance,we placed two metallic stents in the stenosissite of the anastomosis of the patient with anastomoticcolonic strictures.RESULTS:In this case of postsurgical stenosis,the firststent relieved the symptoms of obstruction,but stentmigration happened on the next day so an additional stentwas required to deal with the stricture and relieve thesymptoms.CONCLUSION:This case confirms that metallic stentingmay represent an effective treatment for anastomoticcolonic strictures in the absence of other therapeuticalternatives.
AIM: To assess the effectiveness of and complicationsassociated with metallic stent placement for treatment ofanastomotic colonic strictures. METHODS: A 46-year-old man underging two proceduresof surgery for perforation of descending colon due to atfficffic presented presented with pain, abdominal distention, and inability to defecate.Single-contrast barium enemaradiograph showed a severe stenosis in the region of surgically anastomosis and the patient was too weak to acceptanother laparotomy .Under fluoroscopic and endoscopicguidance, we placed two metallic stents in the stenosissite of the anastomosis of the patient with anastomoticcolonic strictures. RESULTS: In this case of postsurgical stenosis, the firststent relieved the symptoms of obstruction, but stentmigration happened on the next day so an additional stentwas required to deal with the stricture and relieve the symptoms .CONCLUSION: This case confirms that metallic stentingmay represent an effective treatment for anastomoticcolonic strictures i n the absence of other therapeutical alternativess.