Abstract

ENDOSCOPIC MANAGEMENT OF BENIGN ANASTOMOTIC COLONIC STRICTURE USING SELF-EXPANDABLE METALLIC STENT: A CASE REPORT

Escabarte, L. MD; Tan, J. MD.
Department of Internal Medicine - Section of Gastroenterology, Chinese General Hospital and Medical Center

Background: Post anastomotic colonic strictures occur in 32% of cases following colorectal surgery. Standard management of colonic anastomotic stricture is performed endoscopically by repeated balloon dilation. Conventionally, SEMS placement is generally indicated as a bridge before surgery for obstructing colorectal cancers and as palliative treatment for malignant colorectal strictures.

Clinical Presentation: We present a case of 69-year old female, diagnosed with stage III sigmoid adenocarcinoma who underwent sigmoid resection with colostomy creation with subsequent colostomy removal after completion of Capecitabine chemotherapy, presented with abdominal pain and diarrhea followed by vomiting, inability to pass flatus and defecate.

Keywords: Self expandable metallic stent, colorectal, benign colonic stricture

Important Dates to Remember

JRRE Activities
2023-2024
Proposed Dates
Resumption of face-to-face Evidence-Based Medicine Workshop
Venue to be announced once finalized.
July 21, 2023 (Friday), 1-5pm
Monthly Critical Appraisal of Topics Conferences to be gaciliated by Research Coordinators per Institution Monthly Critical Appraisal of Topics Conferences per Institution
CAT Plenary/Liver Con Dates:
September 23, 2023
December 16, 2023
March 2024 (During the JAC)
Resumption of face-to-face Quarterly Critical Appraisal of Topics facilitated by the JRRE
2 Clinical scenarios and articles are to be sent to institutions each on August 2023, November 2023, and February 2024;
Hybrid Research Workshop 4 week asynchronous via Moodle, followed by a 1 day on-site Onsite Workshop Research Protocol Presentation for Level I GI Fellows-In-Training
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Week 1: July 15-21, 2023
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Research Manuscript Workshop for level II GI Fellows-In-Training January 6, 2024