کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5718230 1411244 2017 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Independent Review ArticleUse of covered self-expandable stents for benign colorectal disorders in children
ترجمه فارسی عنوان
مستقل تجدید نظر مقاله استفاده از استنت های قابل انعطاف پوشیده شده برای اختلالات خوش خیم کولورکتال در کودکان
کلمات کلیدی
بیماری هیرشپرونگ، کل آگونیسون کولون، رشته روده، استنت های قابل انعطاف پذیر تحت پوشش، فرزندان،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

PurposeThere is a lack of experience with covered self-expandable stents for benign colorectal disorders in children.MethodsFive children (4 M, 1F) with a median age of 5 years (range, 6 months-9 years) who underwent treatment with covered self-expandable plastic (SEPSs) or self-expandable metal stents (SEMSs) for a benign colorectal condition between April 2005 and November 2013 were recruited to this retrospective study. Etiologies included: anastomotic stricture with (n = 1) or without (n = 3) simultaneous enterocutaneous fistula, as well as an anastomotic leak associated with enterocutaneous fistula (n = 1). All children suffered from either Hirschsprung's disease (n = 3) or total colonic aganglionosis (Zuelzer-Wilson syndrome) (n = 2).ResultsMedian duration of individual stent placement was 23 days (range, 1-87 days). In all cases up to five different stents were placed over time. At follow-up two patients were successfully treated without further intervention. In another patient the anastomotic stricture resolved fully, but a coexisting enterocutaneous fistula persisted. Overall, three patients did not improve completely following stenting and required definite surgery. Stent-related problems were noted in all cases. There was one perforation of the colon at stent insertion. Further complications consisted of stent dislocation (n = 4), obstruction (n = 1), formation of granulation tissue (n = 1), ulceration (n = 1) and discomfort (n = 3).ConclusionsCovered self-expandable stents enrich the armamentarium of interventions for benign colorectal disorders in children including anastomotic strictures and intestinal leaks. A stent can be applied either as an emergency procedure (bridge to surgery) or as an adjuvant treatment further to endoscopy and dilatation. Postinterventional problems are frequent but there is a potential for temporary or definite improvement following stent insertion.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Surgery - Volume 52, Issue 1, January 2017, Pages 184-187
نویسندگان
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