11. CASE REPORT ON THE TREATMENT OF BENIGN ANASTOMOTIC STRICTURE AFTER ANTERIOR RESECTION FOR RECTAL CANCER USING ENDOSCOPIC METAL STENT PLACEMENT

Mai Hoa1, Nguyen Minh Ly1, Pham Ba Hoang Minh1, Nguyen Manh Cuong1, Tran Minh Luc1, Bui Duc Thinh1
1 Thu Duc City Hospital

Main Article Content

Abstract

Objective: To present a case of benign anastomotic stricture following laparoscopic anterior resection for rectal cancer and discuss the endoscopic treatment method using a self-expanding metal stent (SEMS).


Case presentation: A 74-year-old female patient, with a history of laparoscopic anterior resection for stage IIB rectal cancer, was later diagnosed with a colorectal anastomotic stricture. The patient was successfully treated with endoscopic placement of a self-expanding metal stent.


Results: After stent placement, the patient was able to defecate normally without complications during or after the procedure. Radiographic and endoscopic imaging confirmed that the stent was correctly positioned and fully expanded. The patient was discharged on postoperative day 4 without any late complications. Initial long-term results showed no signs of recurrent stricture, and the stent remained in place.


Conclusion: Self-expanding metal stent placement is a minimally invasive, safe, and effective method for treating colorectal anastomotic strictures. Careful patient selection is essential to ensure the efficacy of this approach.

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References

[1] Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians. 2021;71(3):209-249.
[2] Nguyen VH, Le TD, et al. Cancer incidence and mortality in Vietnam. Global Cancer Observatory. 2020.
[3] Wang Y, Deng H, Mou T, et al. Laparoscopic versus open surgery for rectal cancer: A meta-analysis of long-term outcomes. Annals of Surgery. 2019;269(1):62-70.
[4] Milsom JW, Böhm B, Hammerhofer KA, et al. Complications of colorectal anastomoses: A prospective randomized study of laparoscopic versus open techniques. British Journal of Surgery. 1998;85(8):1124-1127.
[5] Shields CJ, Winter DC, Kirwan WO, et al. Anastomotic stricture in colorectal surgery. Techniques in Coloproctology. 2006;10(3):181-187.
[6] Yoon JY, Jung EJ, Jeon SH, et al. Endoscopic management of colorectal anastomotic strictures. Gastrointestinal Endoscopy. 2017;85(2):314-321.
[7] Hong YS, et al. Use of uncovered self-expanding metal stents for refractory benign anastomotic strictures after rectal cancer surgery. Journal of Gastrointestinal Surgery. 2020;24(5):1025-1033.