دورية أكاديمية
أعرض في EDS

Comparison of lumen-apposing metal stents versus endoscopic balloon dilation for the management of benign colorectal anastomotic strictures.

التفاصيل البيبلوغرافية
العنوان: Comparison of lumen-apposing metal stents versus endoscopic balloon dilation for the management of benign colorectal anastomotic strictures.
المؤلفون: Kankotia RJ; Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan, USA., Kwon RS; Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan, USA., Philips GM; Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan, USA., Regenbogen SE; Division of Colorectal Surgery, University of Michigan, Ann Arbor, Michigan, USA., Zacur GM; Division of Pediatric Gastroenterology, University of Michigan, Ann Arbor, Michigan, USA., Wamsteker EJ; Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan, USA., Schulman AR; Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan, USA., Machicado JD; Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan, USA. Electronic address: machicad@med.umich.edu.
المصدر: Gastrointestinal endoscopy [Gastrointest Endosc] 2024 Jul; Vol. 100 (1), pp. 136-139.e3. Date of Electronic Publication: 2024 Mar 08.
نوع المنشور: Journal Article; Comparative Study
اللغة: English
بيانات الدورية: Publisher: Mosby Yearbook Country of Publication: United States NLM ID: 0010505 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-6779 (Electronic) Linking ISSN: 00165107 NLM ISO Abbreviation: Gastrointest Endosc Subsets: MEDLINE
أسماء مطبوعة: Publication: St Louis, Mo : Mosby Yearbook
Original Publication: Denver.
مواضيع طبية MeSH: Anastomosis, Surgical*/adverse effects , Dilatation*/methods , Stents* , Colonoscopy*/methods, Humans ; Female ; Male ; Middle Aged ; Retrospective Studies ; Constriction, Pathologic/surgery ; Constriction, Pathologic/therapy ; Aged ; Rectum/surgery ; Colon/surgery ; Treatment Outcome ; Postoperative Complications/therapy ; Adult ; Recurrence
مستخلص: Background and Aims: Limited data exist evaluating lumen-apposing metal stents (LAMSs) with endoscopic balloon dilation (EBD) for the treatment of benign colorectal anastomotic strictures (BCASs). This study compares outcomes of both interventions.
Methods: Patients with left-sided BCAS treated with LAMSs versus EBD were identified retrospectively. The primary outcome was a composite of crossover to another intervention to achieve clinical success or recurrence requiring reintervention.
Results: Twenty-nine patients (11 LAMS and 18 EBD) were identified with longer follow-up in the EBD group (734 vs 142 days; P = .003). No significant differences were found in the composite outcome, technical success, clinical success, or components of composite outcome. With LAMS, there was a nonsignificant trend toward fewer procedures (2.4 vs 3.3; P = .06) and adverse events (0% vs 16.7%; P = .26).
Conclusions: LAMS appears to be as effective as EBD for the treatment of BCAS but may require fewer procedures and may be safer than EBD.
Competing Interests: Disclosure The following author disclosed financial relationships: A. R. Schulman: Consultant for Apollo Endosurgery, Boston Scientific, Olympus, and MicroTech and research/grant support for GI Dynamics and Fractyl. All other authors disclosed no financial relationships.
(Copyright © 2024 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.)
تواريخ الأحداث: Date Created: 20240310 Date Completed: 20240615 Latest Revision: 20240615
رمز التحديث: 20240616
DOI: 10.1016/j.gie.2024.03.008
PMID: 38462058
قاعدة البيانات: MEDLINE
الوصف
تدمد:1097-6779
DOI:10.1016/j.gie.2024.03.008