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CardioVascular and Interventional Radiology

, Volume 34, Issue 3, pp 462–473 | Cite as

Stenting of the Lower Gastrointestinal Tract: Current Status

  • Konstantinos Katsanos
  • Tarun SabharwalEmail author
  • Andreas Adam
Review

Abstract

Colon obstruction due to colorectal cancer is a major surgical emergency. Patients with acute bowel obstruction are usually poor surgical candidates with 10–20% operative mortality and 40–50% operative morbidity rates. Colorectal stenting is an image-guided, minimally invasive procedure, and typical indications include either palliation of inoperable malignant disease or temporary bowel decompression as a bridge to surgery. Colorectal stenting allows the patient to recover before definite elective surgical resection, reducing perioperative morbidity and mortality, overall hospital stay, and associated health care costs. Palliative stenting improves quality of life compared to surgery. A concise review is provided of contemporary stenting practice of the lower gastrointestinal tract, the colon in particular, and both palliative and preoperative adjuvant procedures are evaluated in terms of relevant patient oncology, insertion technique, available stent designs, technical and clinical outcomes, associated complications, and cost–benefit analysis.

Keywords

Self-expanding Metal stents Colorectal Colonic Palliative Bridge to surgery 

Notes

Conflicts of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2010

Authors and Affiliations

  • Konstantinos Katsanos
    • 1
    • 2
  • Tarun Sabharwal
    • 2
    Email author
  • Andreas Adam
    • 2
  1. 1.Department of Interventional RadiologyPatras University Hospital, School of MedicinePatrasGreece
  2. 2.Department of Interventional RadiologyGuy’s and St. Thomas’ HospitalLondonUK

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