Malignant colorectal obstruction: Treatment with a flexible covered stent

In Wook Choo, Young Soo Do, Soo Won Suh, Ho Kyung Chun, Sung Wook Choo, Hong Suk Park, Sung Kwon Kang, Seung Kwon Kim

Research output: Contribution to journalArticle

131 Scopus citations

Abstract

PURPOSE: To evaluate the usefulness of flexible covered stents for treatment of acute colorectal obstruction secondary to malignant colorectal carcinoma. MATERIAL AND METHODS: Twenty patients with acute colorectal obstruction secondary to malignant colorectal carcinoma were treated by means of intubation of a flexible stent with fluoroscopic guidance with occasional endoscopic assistance. Two types of stents were placed (type 1, completely covered; type 2, two-thirds of proximal part uncovered). Of 15 patients with primary colorectal carcinoma, 12 underwent placement of a stent for presurgical decompression of colorectal obstruction; three, for palliative decompression. In tree patients with rectosigmoid seeding from advanced gastric carcinoma and two patients with recurrent colonic carcinoma, stents were placed for palliative decompression. RESULTS: Stent placement was successful in 18 (90%) of 20 patients. Symptoms of obstruction resolved within 24 hours in 15 (75%) patients. Eight patients underwent elective single-stage surgery without complications 5-7 days after stent placement. Two patients underwent tumor resection and colostomy. In eight patients, stents provided palliative decompression of the colon. Type 1 stents migrated in four (50%) of eight patients; type 2 stents were used thereafter. CONCLUSION: Flexible stents effectively relieved acute colonic obstruction secondary to malignant rectosigmoid neoplasm. Stent placement allowed patients to undergo single-stage surgery in most cases and provided palliative decompression in cases of inoperable or disseminated disease.

Original languageEnglish
Pages (from-to)415-421
Number of pages7
JournalRadiology
Volume206
Issue number2
DOIs
StatePublished - Feb 1998
Externally publishedYes

Keywords

  • Colon, interventional procedure
  • Colon, neoplasms
  • Colon, stenosis or obstruction
  • Rectum, interventional procedure
  • Rectum, neoplasms
  • Rectum, stenosis or obstruction
  • Stents and prostheses

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    Choo, I. W., Do, Y. S., Suh, S. W., Chun, H. K., Choo, S. W., Park, H. S., Kang, S. K., & Kim, S. K. (1998). Malignant colorectal obstruction: Treatment with a flexible covered stent. Radiology, 206(2), 415-421. https://doi.org/10.1148/radiology.206.2.9457194