| Authors | J Sciberras D Aquilina G Laferla |
| Abstract | Colonic diverticular disease is a common disorder. Complications include bleeding, diverticulitis, abscess formation, fistulation, perforation and stricture formation. The usual treatment for stricture formation is operative resection. Self-expanding metal stents are being used increasingly for decompression of the colon in both malignant and benign strictures. Their use has been reported in diverticular disease, radiation strictures, anastomotic strictures and tumours of the colon, in both acute and non-acute settings. The most common complication is stent migration, but stent obstruction and colonic perforation may also occur. Here we report a case of endoscopic deployment of a self-expanding metal stent in a patient with a sigmoidal diverticular stricture who presented a high risk for open surgery. The guide wire was inserted through the channel of the endoscope, and its position was confirmed with fluoroscopy. A 22mm diameter Wallstent Enteral Endoprosthesis (Boston Scientific) was used. The insertion and deployment of the stent was under both endoscopic and fluoroscopic guidance. Plain abdominal radiography at one day and two weeks after stent deployment confirmed that the stent remained in place. The patient remained well at follow up and was opening her bowels regularly. |
Published in: | |
| Journal | Malta Medical Journal |
| Volume | Volume 15 (suppl) |
| Pages | - |
| Date | |
| Link to journal | |
| Key words | endoscopic placement, self-expanding metal stent, benign diverticular stricture, colon |