[A Case of Peritoneal Metastasis in Which Colostomy Was Useful for Restenosis after Stenting].

Abstract

We report a case of restenosis after performing stenting twice for ileus caused by peritoneal dissemination that occurred after surgery for sigmoid colon cancer, in which colostomy was performed to improve the patient's QOL. The patient was a 58-year-old woman who underwent sigmoidectomy for sigmoid colon cancer. She presented with a peritoneal recurrence 3 times, and the third surgery was a non-curative resection. Chemotherapy was administered but was discontinued because of severe adverse events, and the patient was followed up with the best supportive care. An anastomotic stricture occurred 4 years after the initial surgery, and despite performing stenting twice, stenosis occurred 3 times within a few months. The third stenosis occurred shortly after the second episode, and colostomy was therefore performed. The patient died from cancer 4 months after colostomy without having another episode of stenosis. Although stenting is effective for patients with malignant colon stenosis, colostomy appears to be more effective for repeated post-stenting stenosis, when the patient is in an eligible general condition.

• Authors: Hiroko Tagawa, Kazuhiko Yoshimatsu, Hajime Yokomizo, Yuki Yano, Mao Nakayama, Sachiyo Okayama, Masaya Satake, Akiko Sakuma, Atsuo Matsumoto, Takashi Fujimoto, Shunichi Shiozawa, Takeshi Shimakawa, Takao Katsube, Hiroyuki Kato, Yoshihiko Naritaka
• Journal: Gan to kagaku ryoho. Cancer & chemotherapy (Gan To Kagaku Ryoho) Vol. 42 Issue 12 Pg. 1680-2 (Nov 2015) ISSN: 0385-0684 [Print] Japan
• PMID: 26805136 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Colostomy
• Fatal Outcome
• Female
• Humans
• Intestinal Obstruction (etiology, surgery)
• Middle Aged
• Peritoneal Neoplasms (secondary)
• Sigmoid Neoplasms (pathology, surgery)
• Stents