Feasibility and safety of self-expandable metal stent in nonmalignant disease of the lower gastrointestinal tract

作     者：Ludovica Venezia Andrea Michielan Giovanna Condino Emanuele Sinagra Elisa Stasi Marianna Galeazzi Carlo Fabbri Andrea Anderloni 

作者机构：Gastroenterology UnitAOU Cittàdella Salute e della Scienza TurinTurin 10100Italy Gastroenterology and Digestive Endoscopy UnitOspedale Santa ChiaraTrento 38122Italy Gastroenterology UnitAzienda Ospedaliera S.S.Antonio e Biagio e Cesare ArrigoAlessandria 15121Italy Gastroenterology and Endoscopy UnitFondazione Istituto Giuseppe GiglioContrada Pietra Pollastra PisciottoCefalù90015Italy Euro-Mediterranean Institute of Science and Technology(IEMEST)Palermo 90100Italy Gastroenterology UnitDepartment of Medicine“Vito Fazzi”HospitalLecce 73100Italy University of Milano-BicoccaSchool of Medicine and SurgeryMonza 20052Italy Gastroenterology and Digestive Endoscopy UnitForlì-CesenaAzienda U.S.L.RomagnaOspedale G.Morgagni-L.PierantoniCesena 200868Italy Digestive Endoscopy UnitHumanitas Research HospitalMilan 20100Italy 

出 版 物：《World Journal of Gastrointestinal Endoscopy》 (世界胃肠内镜杂志（英文版）（电子版）)

年 卷 期：2020年第12卷第2期

页      面：60-71页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Self-expandable metal stents Lower gastrointestinal tract Benign strictures 

摘      要：In recent years,self-expandable metal stents(SEMSs)have been employed to treat benign gastrointestinal strictures secondary to several conditions:Acute diverticulitis,radiation colitis,inflammatory bowel disease(IBD),and postanastomotic leakages and *** applications include endometriosis and fistulas of the lower gastrointestinal *** it may be technically feasible to proceed to stenting in the aforementioned benign diseases of the lower gastrointestinal tract,the outcome has been reported to be *** fact,in some settings(such as complicated diverticulitis and postsurgical anastomotic strictures),stenting seems to have a limited evidence-based benefit as a bridge to surgery,while in other settings(such as endometriosis,IBD,radiation colitis,etc.),even society guidelines are not able to guide the endoscopist through decisional algorithms for SEMS *** aim of this narrative paper is to review the scientific evidence regarding the use of SEMSs in nonmalignant diseases of the lower gastrointestinal tract,both in adult and pediatric settings.