Endoscopic treatment of a benign colocutaneous and enterocolic fistula by insertion of overlapping self-expandable metal stents

Aaron J. Small, Mark D. Sawyer, Todd H. Baron

Research output: Contribution to journalArticle

Abstract

We report the successful closure of fistulae at the site of a benign colocolonic anastomotic stricture using self-expandable metal stents (SEMS). The stricture and fistulae developed after sigmoid colon resection for diverticulitis. After closure of the fistulae with a covered stent and resolution of inflammation, 10 months later the patient elected to undergo one-stage resection of the diseased colon and stent. Although there have been previously reported cases of SEMS for closure of malignant colonic fistula, there are limited reports of SEMS for closure of benign colonic fistulae and none demonstrate long-term success. We conclude that this patient exemplifies the potential applications of SEMS as definitive therapy for benign colorectal disease.

Original languageEnglish (US)
Pages (from-to)33-36
Number of pages4
JournalDigestive Endoscopy
Volume20
Issue number1
DOIs
StatePublished - Jan 1 2008

Keywords

  • Colon
  • Fistula
  • Metal stent
  • Stenosis

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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