Long-term palliation of a malignant colonic anastomotic stricture using a lumen-apposing metal stent (LAMS)

BMJ Case Rep. 2024 Jan 5;17(1):e257706. doi: 10.1136/bcr-2023-257706.

Abstract

Malignant recurrent colonic strictures at the anastomotic site are difficult to treat long term with traditional uncovered metal stents due to the location and risk for tumour ingrowth. We present a case with the use of a lumen-apposing metal stent (LAMS) to successfully palliate a high-grade obstruction at an anastomotic site without recurrence of obstructive symptoms for 14 months.

Keywords: Colon cancer; GI-stents; Palliative procedures.

Publication types

  • Case Reports

MeSH terms

  • Anastomosis, Surgical / adverse effects
  • Colon* / surgery
  • Constriction, Pathologic / etiology
  • Constriction, Pathologic / surgery
  • Humans
  • Intestinal Obstruction* / etiology
  • Intestinal Obstruction* / surgery
  • Stents