Use of Self-Expandable Prosthesis for the Treatment of Colon and Rectal Benign Stenosis. Systematic Review

Article Sidebar

PDF
Published: Mar 1, 2014
DOI: https://doi.org/10.32457/ijmss.2014.007
Keywords:
Prostheses and implants, Intestinal obstruction, Intestinal obstruction/ therapy, Review, Health care evaluation mechanism

Article Details

How to Cite
Manterola, C., & Urrutia, S. (2014). Use of Self-Expandable Prosthesis for the Treatment of Colon and Rectal Benign Stenosis. Systematic Review. International Journal of Medical and Surgical Sciences, 1(1), 45–50. https://doi.org/10.32457/ijmss.2014.007
Issue
Vol. 1 No. 1 (2014): March 2014
Section
Research Article

The publication is free and its contents are distributed under Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International licence (CC BY-NC-ND 4.0). The rights of the works published in this journal are property of the author and they are free to distribute and disseminate the same sources as long as he correctly cites the font of publication, these acts are not for commercial purposes and no derivative works are generated.

Use of Self-Expandable Prosthesis for the Treatment of Colon and Rectal Benign Stenosis. Systematic Review

Main Article Content

C. Manterola
Centro de Investigación en Ciencias Biomédicas, Universidad Autónoma de Chile, Sede Temuco.
S. Urrutia
Departamento de Cirugía y Traumatología, Universidad de La Frontera.

Abstract

The main reason for the use of self-expandable prosthesis (SEP) is for the treatment of malignant colonic obstructions. The objective of this study is to determine the understanding with regard to results of applying SEP in benign stenosis of colon and rectum, measured in terms of numbers, etiology, and results. Systematic review. A search on MEDLINE, Cochrane Library CENTRAL, DARE, HTA, NHSEED, EMBASE and CINAHL and TRIP database was conducted. We considered all studies published since 1990 for this report. Search strategies were applied to each database using MesH terms, truncated, free words and Booleans. The results and level of evidence of the studies were summarized in tables summarizing efficacy, safety and complications. We obtained 19 related articles. All of these were case series and case reports (evidence level 4), totaling less than 150 cases treated with SEP. The observed results were adequate in terms of symptom reduction, however, a considerable percentage of complications were observed (intestinal perforation, migration, re-obstruction and pain). Published experience concerning the results of the installation of SEP in benign strictures of colon and rectum is scarce and evidence is limited. Therefore, further studies and articles with improved methodological qualities are required.

References

A Guide to the development, implementation and evaluation of clinical practice guidelines. AGPS, Canberra, National Health & Medical Research Council (NHMRC), 1999.

Attar, A.; Maunoury, V.; Vahedi, K.; Vernier-Massouille, G.; Vida, S.; Bulois, P.; Colombel, J. F.; Bouhnik, Y. & GETAID. Safety and efficacy of extractible selfexpandable metal stents in the treatment of Crohn's disease intestinal strictures: a prospective pilot study. Inflamm. Bowel Dis., 18(10):1849-54, 2012.

Branche, J.; Attar, A.; Vernier-Massouille, G.; Bulois, P.; Colombel, J. F.; Bouhnik, Y. & Maunoury, V. Extractible self-expandable metal stent in the treatment of Crohn's disease anastomotic strictures. Endoscopy, 44(Suppl. 2 UCTN):E325-6, 2012.

Dai, Y.; Chopra, S. S.; Wysocki, W. M. & Hünerbein, M. Treatment of benign colorectal strictures by temporary stenting with self-expanding stents. Int. J. Colorectal Dis., 25(12):1475-9, 2010.

Davidson, R. & Sweeney, W. B. Endoluminal stenting for benign colonic obstruction. Surg. Endosc., 12(4):353- 4, 1998.

Dohmoto, M.; Rupp, K. D. & Hohlbach, G. Endoscopicallyimplanted prosthesis in rectal carcinoma. Dtsch. Med. Wochenschr., 115(23):915, 1990.

Donatelli, G.; Ceci, V.; Cereatti, F.; Bruni, A.; Salvatori, F. M.; Minervini, S. & Fiocca, F. Minimally invasive treatment of benign complete stenosis of colorectal anastomosis. Endoscopy, 40(Suppl. 2):E263-4, 2008.

Geiger, T. M.; Miedema, B. W.; Tsereteli, Z.; Sporn, E. & Thaler, K. Stent placement for benign colonic stenosis: case report, review of the literature, and animal pilot data. Int. J. Colorectal Dis., 23(10):1007- 12, 2008.

Guan, Y. S.; Sun, L.; Li, X. & Zheng, X. H. Successful management of a benign anastomotic colonic stricture with self-expanding metallic stents: A case report. World J. Gastroenterol., 10(23):3534-6, 2004.

Khot, U. P.; Lang, A. W.; Murali, K. & Parker, M. C. Systematic review of the efficacy and safety of colorectal stents. Br. J. Surg., 89(9):1096-102, 2002.

Levine, R. A.; Wasvary, H. & Kadro, O. Endoprosthetic management of refractory ileocolonic anastomotic strictures after resection for Crohn's disease: report of nine-year follow-up and review of the literature. Inflamm. Bowel Dis., 18(3):506-12, 2012.

Loras, C.; Pérez-Roldan, F.; Gornals, J. B.; Barrio, J.; Igea, F.; González-Huix, F.; González-Carro, P.; Pérez-Miranda, M.; Espinós, J. C.; Fernández-Bañares, F. & Esteve, M. Endoscopic treatment with self-expanding metal stents for Crohn’s disease strictures. Aliment. Pharmacol. Ther., 36(9):833-9, 2012.

Matsuhashi, N.; Nakajima, A.; Suzuki, A.; Yazaki, Y. & Takazoe, M. Long-term outcome of non-surgical strictureplasty using metallic stents for intestinal strictures in Crohn’s disease. Gastrointest. Endosc., 51(3):343-5, 2000.

Paúl, L.; Pinto, I.; Gómez, H.; Fernández-Lobato, R. & Moyano, E. Metallic stents in the treatment of benign diseases of the colon: preliminary experience in 10 cases. Radiology, 223(3):715-22, 2002.

Piccinni, G. & Nacchiero, M. Management of narrower anastomotic colonic strictures. Case report and proposal technique. Surg. Endosc., 15(10):1227, 2001.

Rejchrt, S.; Kopacova, M.; Brozik, J. & Bures, J. Biodegradable stents for the treatment of benign stenoses of the small and large intestines. Endoscopy, 43:911-7, 2011.

Rosario, B. H.; Hurlstone, P.; Lee, F. & Downes, T. Colonic stenting: an alternative to surgery in the elderly. Age Ageing, 36(5):593-5, 2007.

Simmons, D. T. & Baron, T. H. Endoluminal palliation. Gastrointest. Endosc. Clin. N. Am., 15(3):467-84, viii, 2005.

Small, A. J.; Young-Fadok, T. M. & Baron, T. H. Expandable metal stent placement for benign colorectal obstruction: outcomes for 23 cases. Surg. Endosc., 22(2):454-62, 2008.

Suzuki, N.; Saunders, B. P.; Thomas-Gibson, S.; Akle, C.; Marshall, M. & Halligan, S. Colorectal stenting for malignant and benign disease: outcomes in colorectal stenting. Dis. Colon Rectum, 47(7):1201- 7, 2004.

Tarquino, L. & Zimmerman, M. J. Successful treatment of a benign anastomotic stricture despite stent migration. Gastrointest. Endosc., 52(3):436-8, 2000.

Tejero, E.; Mainar, A.; Fernandez, L.; Tobio, R. & De Gregorio, M. A. New procedure for the treatment of colorectal neoplastic obstructions. Dis. Colon Rectum, 37(11):1158-9, 1994.

Toth, E.; Nielsen, J.; Nemeth, A.; Wurm Johansson, G.; Syk, I.; Mangell, P.; Almqvist, P. & Thorlacius, H. Treatment of a benign colorectal anastomotic stricture with a biodegradable stent. Endoscopy, 43(Suppl. 2 UCTN):E252-3, 2011.

Vanbiervliet, G.; Bichard, P.; Demarquay, J. F.; BenSoussan, E.; Lecleire, S.; Barange, K.; Canard, J. M.; Lamouliatte, H.; Fontas, E.; Barthet, M.; Ponchon, T.; Saurin, J. C. & Research Committee of the French Society of Digestive Endoscopy (SFED). Research Committee of the French Society of Digestive Endoscopy (SFED). Fully covered selfexpanding metal stents for benign colonic strictures. Endoscopy, 45(1):35-41, 2013.

Yates, M. R. 3rd. & Baron, T. H. Treatment of a radiationinduced sigmoid stricture with an expandable metal stent. Gastrointest. Endosc., 50(3):422-6, 1999.