Malignant recurrence at the anastomotic side in gastrointestinal (GI) tract is often a preterminal event, unsuitable for further surgery due to the advanced stage of the disease and the poor condition of patients. Endotherapy may offer a palliative treatment of symptoms giving a reasonable quality of life in these patients with a short life expectancy. Self-expandable metal tent (SEMS) are used most often to improve dysphagia and to restore bowel patency in upper and lower GI anastomoses obstruction, respectively. Other methods such as laser ablation, argon plasma coagulation, photodynamic therapy, endoscopic alcohol injection, and brachytherapy require periodic reiteration. Therefore, they are not used anymore and have been supplanted by SEMS placement. Knowledge of the type of surgical anastomosis and determination of the pattern of tumor recurrence are important for successful stent placement as well as the expert knowledge by the endoscopist of the wide range of available SEMS in order to make the appropriate choice, so minimizing the onset of complications.
|Title of host publication||Endoscopic follow-up of digestive anastomosis|
|Publisher||Springer-Verlag Italia s.r.l.|
|Number of pages||12|
|ISBN (Print)||9788847053700, 8847053692, 9788847053694|
|Publication status||Published - Apr 1 2014|
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