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KMID : 1048120130020010059
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International Journal of Gastrointestinal Intervention
2013 Volume.2 No. 1 p.59 ~ p.61
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Benign anastomotic stricture of the rectum complicated by metal stent insertion: Salvage by placement of a biodegradable polydioxanone stent
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Mullan Damian
O’Dwyer Sarah T.
Laasch Hans-Ulrich
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Abstract
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After radical treatment for a rectal carcinoma, a male patient developed an anastomotic stricture that was resistant to balloon dilatation. Inappropriate placement of an uncovered metal stent had failed to cross the stenosis. Attempts to remove the stent were unsuccessful and a self-expanding polydioxanone esophageal stent was implanted. The procedure resulted in long-term patency and allowed the defunctioning ileostomy to be reversed. This case of a challenging anastomotic stricture supports other very limited experiences indicating that polydioxanone stents in the colon have the same pattern of degradation as elsewhere in the gastrointestinal tract. These stents can re-establish permanent patency, even in a hostile territory and in patients for whom previous dilatation has failed.
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KEYWORD
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Absorbable implants, Anastomosis, Colorectal neoplasms, Stents, Surgical balloon dilatation
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