Self-Expandable Metal Stents for Left Sided Colon Obstruction from Diverticulitis. A Single Center Retrospective Series
<i>Background and Objectives</i>: The incidence of diverticulitis is increasing in western countries. Complicated diverticulitis is defined as diverticulitis associated with localized or generalized perforation, localized or distant abscess, fistula, stricture or obstruction. Colonic sym...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-03-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/57/3/299 |
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| author | Antonietta Lamazza Maria Vittoria Carati Anna Guzzo Anna Maria Pronio Virgilio Nicolanti Angelo Antoniozzi Antonio V. Sterpetti Enrico Fiori |
| author_facet | Antonietta Lamazza Maria Vittoria Carati Anna Guzzo Anna Maria Pronio Virgilio Nicolanti Angelo Antoniozzi Antonio V. Sterpetti Enrico Fiori |
| author_sort | Antonietta Lamazza |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: The incidence of diverticulitis is increasing in western countries. Complicated diverticulitis is defined as diverticulitis associated with localized or generalized perforation, localized or distant abscess, fistula, stricture or obstruction. Colonic symptomatic strictures are often treated with segmental colectomy. The aim of our study is to report our experience with Self Expandable Metal Stents (SEMS) placement to relieve sigmoid obstruction secondary to diverticulitis, either as a permanent solution or as a bridge to elective colectomy. <i>Material and Methods</i>: From January 2016 to December 2018, 21 patients underwent SEMS placement for sigmoid obstruction secondary to diverticulitis at our institution. In four patients with poor general conditions, SEMS was considered the definitive form of treatment. In 17 patients, the stent was placed as bridge to elective colectomy. Data were prospectively collected and retrospectively analyzed. Primary outcomes were postoperative mortality and morbidity after SEMS and subsequent elective colectomy. <i>Results</i>: There was no mortality or major morbidity after SEMS placement or subsequent elective colectomy. No stoma was performed. <i>Conclusions</i>: Placement of Colorectal Self Expandable Stent represents a useful tool to relieve obstruction in patients with left-sided colonic diverticulitis. SEMS placement makes it possible to transform an emergency clinical condition into an elective condition, giving time to resolve the inflammation and the infection inevitably associated with complicated diverticulitis. |
| first_indexed | 2024-03-10T12:59:41Z |
| format | Article |
| id | doaj.art-12894d14ae0b4af897d639bf51dd090f |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-10T12:59:41Z |
| publishDate | 2021-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-12894d14ae0b4af897d639bf51dd090f2023-11-21T11:37:37ZengMDPI AGMedicina1010-660X1648-91442021-03-0157329910.3390/medicina57030299Self-Expandable Metal Stents for Left Sided Colon Obstruction from Diverticulitis. A Single Center Retrospective SeriesAntonietta Lamazza0Maria Vittoria Carati1Anna Guzzo2Anna Maria Pronio3Virgilio Nicolanti4Angelo Antoniozzi5Antonio V. Sterpetti6Enrico Fiori7Department of Surgery “Pietro Valdoni”, Sapienza, University of Rome, 00161 Rome, ItalyDepartment of Surgery “Pietro Valdoni”, Sapienza, University of Rome, 00161 Rome, ItalyDepartment of Surgery “Pietro Valdoni”, Sapienza, University of Rome, 00161 Rome, ItalyDepartment of Surgery “Pietro Valdoni”, Sapienza, University of Rome, 00161 Rome, ItalyDepartment of Surgery “Pietro Valdoni”, Sapienza, University of Rome, 00161 Rome, ItalyDepartment of Surgery “Pietro Valdoni”, Sapienza, University of Rome, 00161 Rome, ItalyDepartment of Surgery “Pietro Valdoni”, Sapienza, University of Rome, 00161 Rome, ItalyDepartment of Surgery “Pietro Valdoni”, Sapienza, University of Rome, 00161 Rome, Italy<i>Background and Objectives</i>: The incidence of diverticulitis is increasing in western countries. Complicated diverticulitis is defined as diverticulitis associated with localized or generalized perforation, localized or distant abscess, fistula, stricture or obstruction. Colonic symptomatic strictures are often treated with segmental colectomy. The aim of our study is to report our experience with Self Expandable Metal Stents (SEMS) placement to relieve sigmoid obstruction secondary to diverticulitis, either as a permanent solution or as a bridge to elective colectomy. <i>Material and Methods</i>: From January 2016 to December 2018, 21 patients underwent SEMS placement for sigmoid obstruction secondary to diverticulitis at our institution. In four patients with poor general conditions, SEMS was considered the definitive form of treatment. In 17 patients, the stent was placed as bridge to elective colectomy. Data were prospectively collected and retrospectively analyzed. Primary outcomes were postoperative mortality and morbidity after SEMS and subsequent elective colectomy. <i>Results</i>: There was no mortality or major morbidity after SEMS placement or subsequent elective colectomy. No stoma was performed. <i>Conclusions</i>: Placement of Colorectal Self Expandable Stent represents a useful tool to relieve obstruction in patients with left-sided colonic diverticulitis. SEMS placement makes it possible to transform an emergency clinical condition into an elective condition, giving time to resolve the inflammation and the infection inevitably associated with complicated diverticulitis.https://www.mdpi.com/1648-9144/57/3/299self-expandable stentscolorectal obstructiondiverticulitis |
| spellingShingle | Antonietta Lamazza Maria Vittoria Carati Anna Guzzo Anna Maria Pronio Virgilio Nicolanti Angelo Antoniozzi Antonio V. Sterpetti Enrico Fiori Self-Expandable Metal Stents for Left Sided Colon Obstruction from Diverticulitis. A Single Center Retrospective Series Medicina self-expandable stents colorectal obstruction diverticulitis |
| title | Self-Expandable Metal Stents for Left Sided Colon Obstruction from Diverticulitis. A Single Center Retrospective Series |
| title_full | Self-Expandable Metal Stents for Left Sided Colon Obstruction from Diverticulitis. A Single Center Retrospective Series |
| title_fullStr | Self-Expandable Metal Stents for Left Sided Colon Obstruction from Diverticulitis. A Single Center Retrospective Series |
| title_full_unstemmed | Self-Expandable Metal Stents for Left Sided Colon Obstruction from Diverticulitis. A Single Center Retrospective Series |
| title_short | Self-Expandable Metal Stents for Left Sided Colon Obstruction from Diverticulitis. A Single Center Retrospective Series |
| title_sort | self expandable metal stents for left sided colon obstruction from diverticulitis a single center retrospective series |
| topic | self-expandable stents colorectal obstruction diverticulitis |
| url | https://www.mdpi.com/1648-9144/57/3/299 |
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