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首页> 外文期刊>The American Journal of Surgery >Treatment of anastomotic stenosis and leakage after colorectal resection for cancer with self-expandable metal stents
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Treatment of anastomotic stenosis and leakage after colorectal resection for cancer with self-expandable metal stents

机译：自膨胀金属支架治疗大肠切除术后吻合口狭窄和渗漏

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Background Self-expandable metallic stents can be used to treat patients with symptomatic anastomotic complications after colorectal resection. Methods Twenty patients with symptomatic anastomotic stricture after colorectal resection were treated with endoscopic placement of a self-expandable metal stent. Ten patients had "simple" anastomotic stricture. In the remaining 10 patients, a leak was associated with the stricture. Results The anastomotic leakage healed without evidence of residual stricture or major fecal incontinence in 8 of 10 patients. Overall, the anastomotic stricture was resolved in 14 of the 20 patients. Conclusions Self-expandable metal stents represent a valid adjunctive to treat patients with symptomatic anastomotic complications after colorectal resection for cancer. They have a complementary role to balloon dilatation in case of simple anastomotic stricture, and they improve the rate of healing when the stricture is associated with a leak.
机译：背景自膨胀金属支架可用于治疗结直肠切除术后有症状吻合并发症的患者。方法对20例大肠切除术后症状吻合口狭窄患者进行内镜下自膨金属支架治疗。十名患者发生了“简单的”吻合口狭窄。在其余的10例患者中，狭窄与狭窄有关。结果10例患者中有8例吻合口漏治愈，没有残余狭窄或大便失禁的迹象。总体而言，在20例患者中有14例吻合口狭窄得以解决。结论自膨胀金属支架是治疗结直肠癌术后有症状吻合并发症的有效辅助手段。在单纯吻合口狭窄的情况下，它们对球囊扩张起补充作用，当狭窄与渗漏相关时，它们可提高愈合速度。

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