Adoption of self-expanding metallic stents in the palliative treatment of obstructive colorectal cancer-look out for perforations!

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Pirita VarpeJuha M Grönroos

Abstract

Self-expanding metallic stents (SEMSs) are increasingly used for the palliative treatment of inoperable colorectal cancer. The aim of the current study was to analyze the safety and efficacy of SEMS in the palliative treatment of obstructive colorectal cancer. Between 2003 and 2006, SEMS placement was attempted in 26 patients suffering from inoperable obstructive colorectal cancer. The recovery of the patients and the outcome of this treatment modality were analyzed prospectively. SEMS was successfully inserted in 19 (73%) of 26 patients. In 16 (84%) of these 19 cases, the placement of SEMS was the definitive treatment of colorectal obstruction and no additional surgical palliation was needed. There were 3 (16%) colonic perforations related to stent application. SEMS insertion seems to be an effective alternative in the palliative treatment of patients with malignant colorectal obstruction. However, perforation is a dangerous complication of the procedure.

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Citations

Mar 21, 2007·BMC Gastroenterology·Jens-Gerd ScharfAnnegret Müller
Mar 23, 2010·Aging Clinical and Experimental Research·Pirita VarpeJuha Grönroos
Mar 22, 2014·Gastrointestinal Endoscopy·Emo E van HalsemaAlessandro Repici
Jun 7, 2011·Cirugía española·Ricardo FragoLoris Trenti
Jun 14, 2013·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Heikki HuhtinenJuha M Grönroos
Aug 17, 2018·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Toshio KuwaiYoshihisa Saida
Dec 12, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Joyce V VeldPieter J Tanis
May 13, 2021·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Nora H TrabulsiNada J Farsi

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