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Alternative management of anastomotic colorectal strictures: Our experience with fully covered self-expanding metal stents

机译:吻合结肠直肠狭窄的替代治疗:我们在完全覆盖的自扩张金属支架方面的经验

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摘要

We read with great interest the article on endoscopic treatment of postsurgical anastomotic colorectal strictures using biodegradable (BD) stents by Repici et al. [1] published recently in Surgical Endoscopy. In this original article, the authors used nondedicated esophageal BD stents with the intent to treat postsurgical anastomotic colorectal strictures refractory to classic mechanical or pneumatic dilation. Their results showed an overall success rate of 45 % (5 of 11 patients) and a 36 % rate (4 of 11 patients) of stent migration.The unique feature of the BD stent is the gradual expansion process with less traumatic mucosal injury. This should reduce major adverse events (i.e., bleeding and perforations) compared with self-expanding plastic stents (SEPS) or self-expanding metal stents (SEMS), as we already know [2-4]. Another advantage of the BD stent is the possibility of avoiding a second endoscopic procedure to remove the stent, as usually required after SEPS or SEMS placement.
机译:我们非常感兴趣地阅读了Repici等人关于使用可生物降解(BD)支架进行内窥镜处理术后吻合口大肠狭窄的文章。 [1]最近发表在外科内窥镜上。在此原始文章中,作者使用非专用食管BD支架来治疗经典机械或气动扩张难治的术后吻合大肠狭窄。他们的结果显示支架迁移的总成功率为45%(11例中的5例)和36%(11例中的4例).BD支架的独特特征是逐渐扩张的过程,创伤性粘膜损伤少。与我们已经知道的自膨胀塑料支架(SEPS)或自膨胀金属支架(SEMS)相比,这应该减少主要的不良事件(即出血和穿孔)。 BD支架的另一个优点是可以避免第二次内窥镜手术来移除支架,这通常是在放置SEPS或SEMS之后需要的。

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