Colon stenting in benign diverticular stricture – a case report and review of literature

Background: Colonic stricture is a feared complication with varied etiology ranging from malignant obstruction to benign diseases. One such condition is recurrent diverticulitis-related strictures. Objectives & Methods: We report a case of a 48-year-old male patient with stricture of the sigmoid...

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Autores principales:	Hany Eskarous, Mahesh Krishnamurthy, Endeshaw Habtesilassie
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2021
Materias:	colon stenting strictures diverticulitis large bowel obstruction self-expanding metal stents Internal medicine RC31-1245
Acceso en línea:	https://doaj.org/article/fbedab6c9bda4267beb86f69ae5b4771
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spelling	oai:doaj.org-article:fbedab6c9bda4267beb86f69ae5b47712021-11-17T14:21:57ZColon stenting in benign diverticular stricture – a case report and review of literature2000-966610.1080/20009666.2021.1969079https://doaj.org/article/fbedab6c9bda4267beb86f69ae5b47712021-11-01T00:00:00Zhttp://dx.doi.org/10.1080/20009666.2021.1969079https://doaj.org/toc/2000-9666Background: Colonic stricture is a feared complication with varied etiology ranging from malignant obstruction to benign diseases. One such condition is recurrent diverticulitis-related strictures. Objectives & Methods: We report a case of a 48-year-old male patient with stricture of the sigmoid colon. The patient refused Sigmoid colon resection. He underwent stent placement and Two weeks later presented with constipation and abdominal discomfort. On Computed Tomography (CT) we discovered stent migration and consequent large bowel obstruction. Patient agreed on undergoing sigmoidectomy with a colostomy. Conclusion: Indication of SEMS for benign lesions remains unclear. Based on the current data, in benign colorectal obstructive lesions, SEMS is a viable option as a bridge to surgery when no other alternative option is available. However, the ASCRS 2020 guidelines did not point to SEMS as an option given the high rate of complications. Our patient was treated with a stent because he refused the resection surgery and found relief for a certain period before developing stent migration. Hence, the patients should be educated about the short and long-term potential effects of stenting before performing the procedure in benign strictures.Hany EskarousMahesh KrishnamurthyEndeshaw HabtesilassieTaylor & Francis Grouparticlecolon stentingstricturesdiverticulitislarge bowel obstructionself-expanding metal stentsInternal medicineRC31-1245ENJournal of Community Hospital Internal Medicine Perspectives, Vol 11, Iss 6, Pp 863-865 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	colon stenting strictures diverticulitis large bowel obstruction self-expanding metal stents Internal medicine RC31-1245
spellingShingle	colon stenting strictures diverticulitis large bowel obstruction self-expanding metal stents Internal medicine RC31-1245 Hany Eskarous Mahesh Krishnamurthy Endeshaw Habtesilassie Colon stenting in benign diverticular stricture – a case report and review of literature
description	Background: Colonic stricture is a feared complication with varied etiology ranging from malignant obstruction to benign diseases. One such condition is recurrent diverticulitis-related strictures. Objectives & Methods: We report a case of a 48-year-old male patient with stricture of the sigmoid colon. The patient refused Sigmoid colon resection. He underwent stent placement and Two weeks later presented with constipation and abdominal discomfort. On Computed Tomography (CT) we discovered stent migration and consequent large bowel obstruction. Patient agreed on undergoing sigmoidectomy with a colostomy. Conclusion: Indication of SEMS for benign lesions remains unclear. Based on the current data, in benign colorectal obstructive lesions, SEMS is a viable option as a bridge to surgery when no other alternative option is available. However, the ASCRS 2020 guidelines did not point to SEMS as an option given the high rate of complications. Our patient was treated with a stent because he refused the resection surgery and found relief for a certain period before developing stent migration. Hence, the patients should be educated about the short and long-term potential effects of stenting before performing the procedure in benign strictures.
format	article
author	Hany Eskarous Mahesh Krishnamurthy Endeshaw Habtesilassie
author_facet	Hany Eskarous Mahesh Krishnamurthy Endeshaw Habtesilassie
author_sort	Hany Eskarous
title	Colon stenting in benign diverticular stricture – a case report and review of literature
title_short	Colon stenting in benign diverticular stricture – a case report and review of literature
title_full	Colon stenting in benign diverticular stricture – a case report and review of literature
title_fullStr	Colon stenting in benign diverticular stricture – a case report and review of literature
title_full_unstemmed	Colon stenting in benign diverticular stricture – a case report and review of literature
title_sort	colon stenting in benign diverticular stricture – a case report and review of literature
publisher	Taylor & Francis Group
publishDate	2021
url	https://doaj.org/article/fbedab6c9bda4267beb86f69ae5b4771
work_keys_str_mv	AT hanyeskarous colonstentinginbenigndiverticularstrictureacasereportandreviewofliterature AT maheshkrishnamurthy colonstentinginbenigndiverticularstrictureacasereportandreviewofliterature AT endeshawhabtesilassie colonstentinginbenigndiverticularstrictureacasereportandreviewofliterature
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Colon stenting in benign diverticular stricture – a case report and review of literature

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