Cargando…

Self-Expandable Metal Stents for Left Sided Colon Obstruction from Diverticulitis. A Single Center Retrospective Series

Background and Objectives: 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...

Descripción completa

Detalles Bibliográficos
Autores principales: Lamazza, Antonietta, Carati, Maria Vittoria, Guzzo, Anna, Pronio, Anna Maria, Nicolanti, Virgilio, Antoniozzi, Angelo, Sterpetti, Antonio V., Fiori, Enrico
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8005033/
https://www.ncbi.nlm.nih.gov/pubmed/33806811
http://dx.doi.org/10.3390/medicina57030299
_version_ 1783672040645984256
author Lamazza, Antonietta
Carati, Maria Vittoria
Guzzo, Anna
Pronio, Anna Maria
Nicolanti, Virgilio
Antoniozzi, Angelo
Sterpetti, Antonio V.
Fiori, Enrico
author_facet Lamazza, Antonietta
Carati, Maria Vittoria
Guzzo, Anna
Pronio, Anna Maria
Nicolanti, Virgilio
Antoniozzi, Angelo
Sterpetti, Antonio V.
Fiori, Enrico
author_sort Lamazza, Antonietta
collection PubMed
description Background and Objectives: 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. Material and Methods: 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. Results: There was no mortality or major morbidity after SEMS placement or subsequent elective colectomy. No stoma was performed. Conclusions: 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.
format Online
Article
Text
id pubmed-8005033
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-80050332021-03-29 Self-Expandable Metal Stents for Left Sided Colon Obstruction from Diverticulitis. A Single Center Retrospective Series Lamazza, Antonietta Carati, Maria Vittoria Guzzo, Anna Pronio, Anna Maria Nicolanti, Virgilio Antoniozzi, Angelo Sterpetti, Antonio V. Fiori, Enrico Medicina (Kaunas) Article Background and Objectives: 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. Material and Methods: 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. Results: There was no mortality or major morbidity after SEMS placement or subsequent elective colectomy. No stoma was performed. Conclusions: 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. MDPI 2021-03-23 /pmc/articles/PMC8005033/ /pubmed/33806811 http://dx.doi.org/10.3390/medicina57030299 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Lamazza, Antonietta
Carati, Maria Vittoria
Guzzo, Anna
Pronio, Anna Maria
Nicolanti, Virgilio
Antoniozzi, Angelo
Sterpetti, Antonio V.
Fiori, Enrico
Self-Expandable Metal Stents for Left Sided Colon Obstruction from Diverticulitis. A Single Center Retrospective Series
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 Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8005033/
https://www.ncbi.nlm.nih.gov/pubmed/33806811
http://dx.doi.org/10.3390/medicina57030299
work_keys_str_mv AT lamazzaantonietta selfexpandablemetalstentsforleftsidedcolonobstructionfromdiverticulitisasinglecenterretrospectiveseries
AT caratimariavittoria selfexpandablemetalstentsforleftsidedcolonobstructionfromdiverticulitisasinglecenterretrospectiveseries
AT guzzoanna selfexpandablemetalstentsforleftsidedcolonobstructionfromdiverticulitisasinglecenterretrospectiveseries
AT pronioannamaria selfexpandablemetalstentsforleftsidedcolonobstructionfromdiverticulitisasinglecenterretrospectiveseries
AT nicolantivirgilio selfexpandablemetalstentsforleftsidedcolonobstructionfromdiverticulitisasinglecenterretrospectiveseries
AT antoniozziangelo selfexpandablemetalstentsforleftsidedcolonobstructionfromdiverticulitisasinglecenterretrospectiveseries
AT sterpettiantoniov selfexpandablemetalstentsforleftsidedcolonobstructionfromdiverticulitisasinglecenterretrospectiveseries
AT fiorienrico selfexpandablemetalstentsforleftsidedcolonobstructionfromdiverticulitisasinglecenterretrospectiveseries