Guan Yong-Song, Sun Long, Li Xiao, Zheng Xiao-Hua
Department of Radiology, Huaxi Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
World J Gastroenterol. 2004 Dec 1;10(23):3534-6. doi: 10.3748/wjg.v10.i23.3534.
To assess the effectiveness of and complications associated with metallic stent placement for treatment of anastomotic colonic strictures.
A 46-year-old man undergoing two procedures of surgery for perforation of descending colon due to a traffic accident presented with pain, abdominal distention, and inability to defecate. Single-contrast barium enema radiograph showed a severe stenosis in the region of surgical anastomosis and the patient was too weak to accept another laparotomy. Under fluoroscopic and endoscopic guidance, we placed two metallic stents in the stenosis site of the anastomosis of the patient with anastomotic colonic strictures.
In this case of postsurgical stenosis, the first stent relieved the symptoms of obstruction, but stent migration happened on the next day so an additional stent was required to deal with the stricture and relieve the symptoms.
This case confirms that metallic stenting may represent an effective treatment for anastomotic colonic strictures in the absence of other therapeutic alternatives.
评估金属支架置入术治疗结肠吻合口狭窄的有效性及相关并发症。
一名46岁男性因交通事故导致降结肠穿孔接受了两次手术，术后出现疼痛、腹胀及无法排便。单对比钡剂灌肠造影显示手术吻合部位严重狭窄，且患者身体过于虚弱无法接受再次剖腹手术。在荧光镜和内镜引导下，我们为该患有结肠吻合口狭窄的患者在吻合口狭窄部位置入了两个金属支架。
在这个术后狭窄病例中，第一个支架缓解了梗阻症状，但第二天发生了支架移位，因此需要额外置入一个支架来处理狭窄并缓解症状。
该病例证实，在没有其他治疗选择的情况下，金属支架置入术可能是治疗结肠吻合口狭窄的有效方法。
