Department of Surgery Pietro Valdoni, University of Rome La Sapienza, Rome, Italy.
Endoscopy. 2013 Jun;45(6):493-5. doi: 10.1055/s-0032-1326488. Epub 2013 Jun 3.
Self-expanding metal stents (SEMS) can be used to treat patients with symptomatic anastomotic complications after colorectal resection. In the present case series, 16 patients with symptomatic anastomotic stricture after colorectal resection were treated with endoscopic placement of SEMS. Seven patients had a "simple" anastomotic stricture and nine patients had a fistula associated with the stricture. The anastomotic fistula healed without evidence of residual stricture or major fecal incontinence in seven of the nine patients. Overall the anastomotic stricture was resolved in 10 of the 16 patients. SEMS placement represents a valid adjunctive to treatment in patients with symptomatic anastomotic complications after colorectal resection for cancer.
自膨式金属支架（SEMS）可用于治疗结直肠切除术后吻合口并发症有症状的患者。在本病例系列中，16 例结直肠切除术后吻合口狭窄有症状的患者接受了内镜下 SEMS 放置治疗。7 例患者为“单纯”吻合口狭窄，9 例患者吻合口瘘伴狭窄。9 例患者中，7 例吻合口瘘愈合，无残留狭窄或明显大便失禁的证据。16 例患者中，总体上有 10 例吻合口狭窄得到解决。SEMS 放置是结直肠癌切除术后吻合口并发症有症状患者的一种有效的辅助治疗方法。
