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Metallic stents in the treatment of benign diseases of the colon: preliminary experience in 10 cases.

AbstractPURPOSE:
To assess the effectiveness of and complications associated with metallic stent placement for treatment of benign diseases of the colon.
MATERIALS AND METHODS:
With radiologic guidance, the authors placed metallic stents in 10 patients with benign diseases of the colon: Nine stents were placed in the rectosigmoid colon, and one was placed in the descending colon. The stents were placed in two cases of diverticulitis complicated by pelvic abscess, four cases of colonic fistula following surgery, and four cases of postsurgical anastomotic stricture. Coated stents were placed in the cases involving fistulas and diverticulitis.
RESULTS:
In the two cases of diverticulitis complicated by pelvic abscess, the coated stents helped to resolve the abscesses, but both patients subsequently developed complications: fistula and perforation. Of the four cases of colonic fistula, two were resolved with stent placement. In the four cases of postsurgical stenosis, the stents temporarily relieved the symptoms of obstruction, but additional treatments were required before the patients became entirely asymptomatic.
CONCLUSION:
Metallic stents may represent an effective temporary treatment for certain benign colonic conditions in the absence of other therapeutic alternatives.
AuthorsLaura Paúl, Isabel Pinto, Helena Gómez, Rosa Fernández-Lobato, Emilio Moyano
JournalRadiology (Radiology) Vol. 223 Issue 3 Pg. 715-22 (Jun 2002) ISSN: 0033-8419 [Print] United States
PMID12034940 (Publication Type: Journal Article)
Chemical References
  • Barium Sulfate
Topics
  • Aged
  • Barium Sulfate
  • Colonic Diseases (diagnostic imaging, therapy)
  • Constriction, Pathologic (diagnostic imaging, therapy)
  • Enema
  • Female
  • Fistula (diagnostic imaging, therapy)
  • Humans
  • Male
  • Middle Aged
  • Radiography, Interventional
  • Stents
  • Tomography, X-Ray Computed
  • Treatment Outcome

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