Surgical Endoscopy

, 21:1101 | Cite as

Management of acute malignant large-bowel obstruction with self-expanding metal stent

  • S. Mucci-Hennekinne
  • A. G. Kervegant
  • N. Regenet
  • A. Beaulieu
  • J. P. Barbieux
  • N. Dehni
  • C. Casa
  • J. P. ArnaudEmail author



Colorectal stents are being used for palliation and as a “bridge to surgery” in obstructing colorectal carcinoma. The purpose of this study was to review our experience with self-expanding metal stents (SEMS) as the initial interventional approach in the management of acute malignant large bowel obstruction.


Between February 2002 and May 2006, 67 patients underwent the insertion of a SEMS for an obstructing malignant lesion of the left-sided colon or rectum.


In 55 patients, the stents were placed for palliation, whereas in 12 they were placed as a bridge to surgery. Stent placement was technically successful in 92.5% (n = 62), with a clinical success rate of 88% (n = 59). Two perforations that occurred during stent placement we retreated by an emergency Hartmann operation. In intention-to-treat by stent, the peri-interventional mortality was 6% (4/67). Stent migration was reported in 3 cases (5%), and stent obstruction occurred in 8 cases (13.5%). Of the nine patients with stents successfully placed as a bridge to surgery, all underwent elective single-stage operations with no death or anastomotic complication.


Stent insertion provided an effective outcome in patients with malignant colonic obstruction as a palliative and preoperative therapy.


Colonic obstruction Stent Endoprosthesis Cancer Colorectal 


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • S. Mucci-Hennekinne
    • 1
  • A. G. Kervegant
    • 1
  • N. Regenet
    • 1
  • A. Beaulieu
    • 1
  • J. P. Barbieux
    • 1
  • N. Dehni
    • 1
  • C. Casa
    • 1
  • J. P. Arnaud
    • 1
    Email author
  1. 1.Department of Visceral SurgeryCHU-AngersAngers-49100France

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