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Short benign ileocolonic anastomotic strictures-management with bi-flanged metal stents:Six case reports and review of literature

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World Journal of Clinical Cases 2022年第28期10卷 10162-10171页

作者： panagiotis kasapidis Georgios Mavrogenis Dimitrios Mandrekas Fateh Bazerbachi Department of Gastroenterology and Endoscopy Unit Central Clinic of AthensAthens 10680Greece Department of Gastroenterology Mediterraneo HospitalGlyfadaAthens 16685Greece Department of Surgery National and Kapodistrian University of AthensAthens 11527Greece Department of Surgery Attendant of Central Clinic of AthensAthens 10680Greece CentraCare Interventional Endoscopy ProgramSt Cloud HospitalSt CloudMN 56301United States

BACKGROUND The endoscopic management of benign short post-anastomotic ileocolonic stricture(PAICS) that is refractory to primary and secondary treatment modalities remains *** lumen-apposing metal stent(LAMS) is a novel device recently developed for therapeutic gastrointestinal *** have demonstrated significantly better results with regard to stent migration than fully covered self-expandable metal stents(FCSEMSs).CASE SUMMARY This article presents six cases of symptomatic PAICS successfully treated with a LAMS and a review of the relevant *** report a life-saving technique not previously documented and the use of technology to improve patient *** six patients(median age,75 years) suffered from vomiting,constipation and recurrent abdominal pain,with symptoms starting 23-25 wk *** median stricture length was 1.83 *** six patients underwent successful and uneventful bi-flanged metal stent(BFMS)-LAMS placement for benign *** patients remained asymptomatic during the three months of stent indwelling and up to a median of 7 mo after stent *** to the literature,the application of LAMS for PAICS is associated with a < 10% risk of migration and a < 5% risk of ***,FCSEMS has a high migration rate(15%-50%).CONCLUSION The evolving role of interventional endoscopy and the availability of LAMSs provide patients with minimally invasive treatment options,allowing them to avoid more invasive surgical *** BFMS(NAGI stent) is longer and larger than the prototype AXIOS-LAMS,which should be considered in the management of short ileocolonic post-anastomotic strictures longer than 10 mm and shorter than 30 mm.

关键词： Bi-flanged metal stent Lumen-apposing metal stent Anastomotic ileocolonic stricture Selfexpanding metal stent Endoscopic innovation Case report

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