Of the 19 patients who underwent a colectomy, 8 (42%) did not need a stoma after stent insertion. Surgery was delayed more than 30 days after stent placement for six of these patients. Of the 19 patients who underwent planned surgical resection, 16 were successfully decompressed and converted from an emergent operation to an elective one with a median time to surgical resection of 12 days (range, 2 days to 18 months). Four patients did not undergo an operation. Of these major complications, 87% occurred after 7 days. Major complications occurred in 38% of the patients including migration (n = 2), reobstruction (n = 4), and perforation (n = 2). Stent placement was technically successful for all 23 patients, and obstruction was relieved for 22 patients (95%). Uncovered Enteral Wallstents or Ultraflex Precision Colonic stents (Boston Scientific) were endoscopically placed in all but one patient.
Five patients had an associated colonic fistula. All strictures were located in the left colon. The etiologies of the stricture were diverticular/inflammatory (n = 16), postsurgical anastomotic (n = 3), radiation-induced (n = 3), and Crohn's (n = 1) disease. During the study period, 23 patients with benign obstructive disease underwent endoscopic SEMS placement. Patients with benign colonic strictures may benefit from stent placement, but little data exist for this indication.Īll cases of colonic stent placement identified from a prospectively collected gastrointestinal database from April 1999 to August 2006 were reviewed.
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