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. 2023 Aug;39(4):357-361.
doi: 10.3393/ac.2022.00962.0137. Epub 2023 Feb 9.

Endoscopic transstomal stent insertion: a novel approach for a stenosed stoma in a challenging patient

Feras Aljarad  1   2 , Ashutosh Gumber  2 , Anne Marie McLeary  2 , Kawan Shalli  2
Affiliations

Endoscopic transstomal stent insertion: a novel approach for a stenosed stoma in a challenging patient

Feras Aljarad et al. Ann Coloproctol. 2023 Aug.

Abstract

Transstomal stent deployment to maintain the patency of stoma in a challenging patient who developed stoma stenosis, is a minimal invasive, novel technique. This is a new and alternative approach in management of stoma stenosis in a difficult case using a biodegradable stent for end colostomy.

Keywords: Colostomy; Novel technique; Stenosis; Stents.

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Conflict of interest statement

Conflict of interest

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1.
Fig. 1.
External view of the stenotic stoma.
Fig. 2.
Fig. 2.
Transluminal view of the stenotic stoma.
Fig. 3.
Fig. 3.
Radial incision under the local anesthesia.
Fig. 4.
Fig. 4.
Stent inserted into the stenotic stoma.
Fig. 5.
Fig. 5.
The stent in situ after the radial skin-releasing incisions. (A) Immediate appearance. (B) One week later.
Fig. 6.
Fig. 6.
Granulation over the stent. (A) Distal part. (B) Proximal part.
Fig. 7.
Fig. 7.
Stoma opening at 9 months.
Fig. 8.
Fig. 8.
Stoma opening diameter, with an 18-mm dilator inside.
Fig. 9.
Fig. 9.
Stoma diameter at 30 months.
See this image and copyright information in PMC

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