Navajas-Laboa Maria, Orive-Calzada Aitor, Landaluce Aitor, Zabalza-Estevez Iñaki, Larena Jose Alejandro, Arévalo-Serna Juan Antonio, Bridet Lionel, López-López Maria, Torres-Burgos Soraya, Bernal-Martínez Antonio, Cabriada-Nuño Jose Luis
Endoscopy Unit, Department of Gastroenterology and Hepatology, Galdakao-Usansolo Hospital, Galdakao, Vizcaya, Spain.
Endoscopy Unit, Department of Gastroenterology and Hepatology, Galdakao-Usansolo Hospital, Galdakao, Vizcaya, Spain.
Arab J Gastroenterol. 2015 Mar;16(1):33-5. doi: 10.1016/j.ajg.2014.10.004. Epub 2015 Mar 16.
Self-expanding metal stents are an established treatment for malignant colon strictures, either as palliative treatment or as a bridge to later surgery. Little data exist regarding the use of stents for benign obstructions and the rate of subsequent complications related to the procedure is high. After reviewing the existing literature, we found only one case of stent placement in an intestinal obstruction caused by endometriosis, as a bridge to surgery. The use of prostheses in benign disease has a higher rate of complications such as stent migration and gut perforation. Such complications are even more likely to happen when the stent has been placed as a bridge to surgery and it is delayed for more than 7 days. This is the case of a young woman presenting an acute intestinal obstruction related to endometrioma. Stent placement was used in this case as a bridge to surgery with successful results.
自膨式金属支架是治疗恶性结肠狭窄的一种既定方法,可作为姑息治疗或作为后续手术的桥梁。关于支架用于良性梗阻的资料很少,且与该手术相关的后续并发症发生率很高。在回顾现有文献后,我们仅发现1例因子宫内膜异位症导致肠梗阻而置入支架作为手术桥梁的病例。在良性疾病中使用假体的并发症发生率较高,如支架移位和肠道穿孔。当支架作为手术桥梁置入且延迟超过7天时,此类并发症更有可能发生。本文报道的是一名年轻女性因子宫内膜瘤出现急性肠梗阻的病例。该病例中使用支架作为手术桥梁,结果成功。