Colonic obstruction caused by endometriosis solved with a colonic stent as a bridge to surgery

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. Af...

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Bibliographic Details
Published in:Arab journal of gastroenterology 2015-03, Vol.16 (1), p.33-35
Main Authors: 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
Format: Article
Language:English
Subjects:
Abdominal Pain - diagnosis
Abdominal Pain - etiology
Adult
Colectomy - methods
Colonic Diseases - diagnosis
Colonic Diseases - etiology
Colonic Diseases - surgery
Colonic obstruction
Emergency Service, Hospital
Endometriosis
Endometriosis - complications
Endometriosis - diagnosis
Female
Follow-Up Studies
Humans
Intestinal Obstruction - diagnosis
Intestinal Obstruction - etiology
Intestinal Obstruction - surgery
Magnetic Resonance Imaging - methods
Stent
Stents
Tomography, X-Ray Computed - methods
Treatment Outcome
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Summary: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 7days. 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.
ISSN:1687-1979
2090-2387
DOI:10.1016/j.ajg.2014.10.004