Application of a 3D-printed "fistula stent" in plugging enteroatmospheric fistula with open abdomen: A case report

Open abdomen (OA) has been generally accepted for its magnificent superiority and effectiveness in patients with severe trauma, severe intra-abdominal infection, and abdominal compartment syndrome. In the meantime, OA calls for a mass of nursing and the subsequent enteroatomospheric fistula (EAF), w...

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Bibliographic Details
Published in:World journal of gastroenterology : WJG 2019-04, Vol.25 (14), p.1775-1782
Main Authors: Xu, Zi-Yan, Ren, Hua-Jian, Huang, Jin-Jian, Li, Zong-An, Ren, Jian-An
Format: Article
Language:English
Subjects:
Abdominal Wall - surgery
Abdominal Wound Closure Techniques - instrumentation
Adult
Anastomosis, Surgical - adverse effects
Angiography
Case Report
Humans
Intestinal Fistula - diagnostic imaging
Intestinal Fistula - etiology
Intestinal Fistula - surgery
Intestinal Obstruction - surgery
Male
Polyurethanes
Printing, Three-Dimensional
Stents
Treatment Outcome
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Summary:Open abdomen (OA) has been generally accepted for its magnificent superiority and effectiveness in patients with severe trauma, severe intra-abdominal infection, and abdominal compartment syndrome. In the meantime, OA calls for a mass of nursing and the subsequent enteroatomospheric fistula (EAF), which is one of the most common complications of OA therapy, remains a thorny challenge. Our team applied thermoplastic polyurethane as a befitting material for producing a 3D-printed "fistula stent" in the management of an EAF patient, who was initially admitted to local hospital because of abdominal pain and distension and diagnosed with bowel obstruction. After a series of operations and OA therapy, the patient developed an EAF. Application of this novel "fistula stent" resulted in a drastic reduction in the amount of lost enteric effluent and greatly accelerated rehabilitation processes.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v25.i14.1775