Rectal metal stents for palliation of colorectal malignant stenosis.

Abstract

Thirteen patients with colorectal obstructing tumors were submitted to endoscopic insertion of self-expanding metal stents to restore luminal patency. The procedure was performed entirely under endoscopic control, without using fluoroscopy, during a 1-day hospitalization. The prostheses were correctly placed in 12/13 patients (92%), with no immediate complications. The mean follow-up is 7 months. Ten out of 12 patients (83%) had a permanent restoration of the luminal patency; they experienced no pain, tenesmus or any other discomfort during the follow-up period. In the remaining 2 patients long-term complications occurred and were treated by endoscopy in 1 case, and by surgical resection in the 2nd case. Self-expanding metal stents proved to be safe and effective; the main drawbacks, at present, are the lack of effectiveness of these devices in case of a fistula and their high costs.

• Authors: P Spinelli, M Dal Fante, A Mancini
• Journal: Bildgebung = Imaging (Bildgebung) Vol. 60 Suppl 1 Pg. 48-50 (Apr 1993) ISSN: 1012-5655 [Print] Switzerland
• PMID: 7690625 (Publication Type: Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Colonic Diseases (mortality, therapy)
• Colorectal Neoplasms (mortality, therapy)
• Combined Modality Therapy
• Female
• Follow-Up Studies
• Humans
• Intestinal Obstruction (mortality, therapy)
• Laser Therapy
• Male
• Middle Aged
• Palliative Care
• Rectal Diseases (mortality, therapy)
• Stents