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Ileosigmoid Anastomotic Perforation Three Weeks After Placement of Lumen-Apposing Metal Stent (LAMS)

Benign anastomotic intestinal strictures are difficult to manage as there may be limited response to dilation. Fully covered self-expanding metal stents have been utilized in small case series; however, stent suturing is required due to the high risk of stent migration. Lumen-apposing metal stents (...

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Detalles Bibliográficos
Autores principales: Mekheal, Nader, Aslanian, Harry, Kesar, Vivek, Jamidar, Priya, Muniraj, Thiruvengadam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8772393/
https://www.ncbi.nlm.nih.gov/pubmed/35103144
http://dx.doi.org/10.7759/cureus.20565
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author Mekheal, Nader
Aslanian, Harry
Kesar, Vivek
Jamidar, Priya
Muniraj, Thiruvengadam
author_facet Mekheal, Nader
Aslanian, Harry
Kesar, Vivek
Jamidar, Priya
Muniraj, Thiruvengadam
author_sort Mekheal, Nader
collection PubMed
description Benign anastomotic intestinal strictures are difficult to manage as there may be limited response to dilation. Fully covered self-expanding metal stents have been utilized in small case series; however, stent suturing is required due to the high risk of stent migration. Lumen-apposing metal stents (LAMS) are fully covered and have a novel dumbbell shape that prevents stent migration. Initial reports identify low migration rates and good clinical success rates. This is the first report of perforation following treatment of an ileosigmoid stricture in a 52-year-old female, three weeks after LAMS placement.
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spelling pubmed-87723932022-01-30 Ileosigmoid Anastomotic Perforation Three Weeks After Placement of Lumen-Apposing Metal Stent (LAMS) Mekheal, Nader Aslanian, Harry Kesar, Vivek Jamidar, Priya Muniraj, Thiruvengadam Cureus Internal Medicine Benign anastomotic intestinal strictures are difficult to manage as there may be limited response to dilation. Fully covered self-expanding metal stents have been utilized in small case series; however, stent suturing is required due to the high risk of stent migration. Lumen-apposing metal stents (LAMS) are fully covered and have a novel dumbbell shape that prevents stent migration. Initial reports identify low migration rates and good clinical success rates. This is the first report of perforation following treatment of an ileosigmoid stricture in a 52-year-old female, three weeks after LAMS placement. Cureus 2021-12-21 /pmc/articles/PMC8772393/ /pubmed/35103144 http://dx.doi.org/10.7759/cureus.20565 Text en Copyright © 2021, Mekheal et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Mekheal, Nader
Aslanian, Harry
Kesar, Vivek
Jamidar, Priya
Muniraj, Thiruvengadam
Ileosigmoid Anastomotic Perforation Three Weeks After Placement of Lumen-Apposing Metal Stent (LAMS)
title Ileosigmoid Anastomotic Perforation Three Weeks After Placement of Lumen-Apposing Metal Stent (LAMS)
title_full Ileosigmoid Anastomotic Perforation Three Weeks After Placement of Lumen-Apposing Metal Stent (LAMS)
title_fullStr Ileosigmoid Anastomotic Perforation Three Weeks After Placement of Lumen-Apposing Metal Stent (LAMS)
title_full_unstemmed Ileosigmoid Anastomotic Perforation Three Weeks After Placement of Lumen-Apposing Metal Stent (LAMS)
title_short Ileosigmoid Anastomotic Perforation Three Weeks After Placement of Lumen-Apposing Metal Stent (LAMS)
title_sort ileosigmoid anastomotic perforation three weeks after placement of lumen-apposing metal stent (lams)
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8772393/
https://www.ncbi.nlm.nih.gov/pubmed/35103144
http://dx.doi.org/10.7759/cureus.20565
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