Feasibility and safety of self-expandable metal stent in nonmalignant disease of the lower gastrointestinal tract.

Autor:	Venezia L; Gastroenterology Unit, AOU Città della Salute e della Scienza Turin, Turin 10100, Italy., Michielan A; Gastroenterology and Digestive Endoscopy Unit, Ospedale Santa Chiara, Trento 38122, Italy., Condino G; Gastroenterology Unit, Azienda Ospedaliera S.S. Antonio e Biagio e Cesare Arrigo, Alessandria 15121, Italy., Sinagra E; Gastroenterology and Endoscopy Unit, Fondazione Istituto Giuseppe Giglio, Contrada Pietra Pollastra Pisciotto, Cefalù 90015, Italy., Stasi E; Gastroenterology Unit, Department of Medicine, 'Vito Fazzi' Hospital, Lecce 73100, Italy., Galeazzi M; University of Milano-Bicocca, School of Medicine and Surgery, Monza 20052, Italy., Fabbri C; Gastroenterology and Digestive Endoscopy Unit, Forlì-Cesena, Azienda U.S.L. Romagna, Ospedale G. Morgagni-L. Pierantoni, Cesena 200868, Italy., Anderloni A; Digestive Endoscopy Unit, Humanitas Research Hospital, Milan 20100, Italy.
Jazyk:	angličtina
Zdroj:	World journal of gastrointestinal endoscopy [World J Gastrointest Endosc] 2020 Feb 16; Vol. 12 (2), pp. 60-71.
DOI:	10.4253/wjge.v12.i2.60
Abstrakt:	In recent years, self-expandable metal stents (SEMSs) have been employed to treat benign gastrointestinal strictures secondary to several conditions: Acute diverticulitis, radiation colitis, inflammatory bowel disease (IBD), and postanastomotic leakages and stenosis. Other applications include endometriosis and fistulas of the lower gastrointestinal tract. Although it may be technically feasible to proceed to stenting in the aforementioned benign diseases of the lower gastrointestinal tract, the outcome has been reported to be poor. In fact, in some settings (such as complicated diverticulitis and postsurgical anastomotic strictures), stenting seems to have a limited evidence-based benefit as a bridge to surgery, while in other settings (such as endometriosis, IBD, radiation colitis, etc .), even society guidelines are not able to guide the endoscopist through decisional algorithms for SEMS placement. The aim of this narrative paper is to review the scientific evidence regarding the use of SEMSs in nonmalignant diseases of the lower gastrointestinal tract, both in adult and pediatric settings. Competing Interests: Conflict-of-interest statement: All authors declare that this research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors, thus disclosing any conflict of interest regarding such work. (©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.)
Databáze:	MEDLINE
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