Long-term survival after colonic stenting and restenting for malignant colonic obstruction

The mortality risk for emergency surgery for colonic obstruction ranges from 9 to 27 per cent.1 For patients with unresectable tumors, stoma creation is still considered the standard treatment of large bowel obstruction, but this procedure is also associated with significant morbidity of approximate...

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Bibliographic Details
Published in:The American surgeon 2010-04, Vol.76 (4), p.457-459
Main Authors: Noto, Khristian A, Almario, Christopher, Maxwell, Pinckney J, Mitchell, Edith P, Isenberg, Gerald A, Goldstein, Scott D
Format: Article
Language:English
Subjects:
Aged
Chemotherapy
Colonic Neoplasms - diagnosis
Colonic Neoplasms - therapy
Humans
Intestinal Obstruction - diagnosis
Intestinal Obstruction - therapy
Long term
Male
Medical treatment
Mortality
Neoplasm Recurrence, Local
Palliative Care
Retreatment
Stents
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Summary:The mortality risk for emergency surgery for colonic obstruction ranges from 9 to 27 per cent.1 For patients with unresectable tumors, stoma creation is still considered the standard treatment of large bowel obstruction, but this procedure is also associated with significant morbidity of approximately 19 per cent and mortality approaching 10 per cent.2 Since its introduction in 1992, self-expanding metallic stents (SEMS) have found increased use in recent years in the palliative relief of malignant colorectal obstructions.3 We present the case of a patient who underwent SEMS placement for a recurrent obstructing left colon cancer and subsequently presented 22 months after the procedure with reobstruction secondary to tumor ingrowth. The use of SEMS for relieving malignant colorectal obstructions either as a bridge to elective resection or for definitive palliative treatment has increased in recent years, achieving technical and clinical success rates exceeding 90 per cent.3 Patency of the stent and colon can be compromised by stent migration, collapse, or reobstruction.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481007600434