The Off-Label Use of a Lumen-Apposing Metal Stent (LAMS) for a Benign Colon Anastomotic Stricture Causing Recurrent Bowel Obstruction in a Patient with Keloids

Anastomotic strictures are a known complication of colorectal surgery. Despite a wide range of medical devices that have been deployed for this complication, outcomes remain challenging. Lumen-apposing metal stents (LAMSs) have recently emerged as a potentially superior therapeutic option. We herein...

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Main Authors: Michael Coles, Pearl Uy, Victoria Madray, John Erikson Yap, Subbaramiah Sridhar
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2021/5595518
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author Michael Coles
Pearl Uy
Victoria Madray
John Erikson Yap
Subbaramiah Sridhar
author_facet Michael Coles
Pearl Uy
Victoria Madray
John Erikson Yap
Subbaramiah Sridhar
author_sort Michael Coles
collection DOAJ
description Anastomotic strictures are a known complication of colorectal surgery. Despite a wide range of medical devices that have been deployed for this complication, outcomes remain challenging. Lumen-apposing metal stents (LAMSs) have recently emerged as a potentially superior therapeutic option. We herein report a patient with a past medical history of pT3, N0 adenocarcinoma of the colon with anastomotic stricture recurrence who underwent successful placement of an LAMS. We suggest that patients with a predisposition for keloid formation or fibrosis-prone anastomotic wound healing should be considered for LAMS deployment early in the treatment course.
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publishDate 2021-01-01
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series Case Reports in Gastrointestinal Medicine
spelling doaj-art-1d83b7b492224fa1b8907bd2c37ee4e52025-02-03T01:21:26ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362021-01-01202110.1155/2021/55955185595518The Off-Label Use of a Lumen-Apposing Metal Stent (LAMS) for a Benign Colon Anastomotic Stricture Causing Recurrent Bowel Obstruction in a Patient with KeloidsMichael Coles0Pearl Uy1Victoria Madray2John Erikson Yap3Subbaramiah Sridhar4Augusta University, Department of Internal Medicine, 1120 15th Street, Augusta, Georgia, USAAugusta University, Department of Gastroenterology and Hepatology, 1120 15th Street, Augusta, Georgia, USAAugusta University, Medical College of Georgia, 1120 15th Street, Augusta, Georgia, USAAugusta University, Department of Gastroenterology and Hepatology, 1120 15th Street, Augusta, Georgia, USAAugusta University, Department of Gastroenterology and Hepatology, 1120 15th Street, Augusta, Georgia, USAAnastomotic strictures are a known complication of colorectal surgery. Despite a wide range of medical devices that have been deployed for this complication, outcomes remain challenging. Lumen-apposing metal stents (LAMSs) have recently emerged as a potentially superior therapeutic option. We herein report a patient with a past medical history of pT3, N0 adenocarcinoma of the colon with anastomotic stricture recurrence who underwent successful placement of an LAMS. We suggest that patients with a predisposition for keloid formation or fibrosis-prone anastomotic wound healing should be considered for LAMS deployment early in the treatment course.http://dx.doi.org/10.1155/2021/5595518
spellingShingle Michael Coles
Pearl Uy
Victoria Madray
John Erikson Yap
Subbaramiah Sridhar
The Off-Label Use of a Lumen-Apposing Metal Stent (LAMS) for a Benign Colon Anastomotic Stricture Causing Recurrent Bowel Obstruction in a Patient with Keloids
Case Reports in Gastrointestinal Medicine
title The Off-Label Use of a Lumen-Apposing Metal Stent (LAMS) for a Benign Colon Anastomotic Stricture Causing Recurrent Bowel Obstruction in a Patient with Keloids
title_full The Off-Label Use of a Lumen-Apposing Metal Stent (LAMS) for a Benign Colon Anastomotic Stricture Causing Recurrent Bowel Obstruction in a Patient with Keloids
title_fullStr The Off-Label Use of a Lumen-Apposing Metal Stent (LAMS) for a Benign Colon Anastomotic Stricture Causing Recurrent Bowel Obstruction in a Patient with Keloids
title_full_unstemmed The Off-Label Use of a Lumen-Apposing Metal Stent (LAMS) for a Benign Colon Anastomotic Stricture Causing Recurrent Bowel Obstruction in a Patient with Keloids
title_short The Off-Label Use of a Lumen-Apposing Metal Stent (LAMS) for a Benign Colon Anastomotic Stricture Causing Recurrent Bowel Obstruction in a Patient with Keloids
title_sort off label use of a lumen apposing metal stent lams for a benign colon anastomotic stricture causing recurrent bowel obstruction in a patient with keloids
url http://dx.doi.org/10.1155/2021/5595518
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