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Colorectal Stenting for Malignant and Benign Disease: Outcomes in Colorectal Stenting

  • Original Contribution
  • Published:
Diseases of the Colon & Rectum

INTRODUCTION:

Self-expanding metal stents are now an established treatment for malignant colonic obstruction. Favorable outcomes have been reported both for cancer palliation and treatment of acute obstruction as a “bridge” to surgery. However, little data exists regarding the use of stents for benign colonic obstruction.

METHODS:

All cases of colonic stent insertion occurring between December 1996 to October 2002 were reviewed. During the study period, 36 patients with malignant obstruction and 6 patients with benign obstructive disease underwent placement of self-expandable stents using a combined endoscopic and fluoroscopic technique.

RESULTS:

Stent placement was successful in 36 of 42 patients (86 percent). Complications occurred in 16 of 36 patients (44 percent): migration (n = 7), reobstruction (n = 5), perforation (n = 2), fistula formation (n = 1), and stent fracture (n = 1). Stent placement was successful in 100 percent of patients with benign strictures but poststent migration was frequent (2/6).

CONCLUSIONS:

Stent insertion provided an effective outcome in patients with malignant colonic obstruction as a palliative and preoperative therapy. Although a relatively high migration rate was observed in patients with benign strictures, stenting was still effective in providing luminal patency (median follow-up, 7.5 months). Stenting should be considered as a first-line treatment for malignant strictures and as a potential therapy for selected benign strictures.

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Authors and Affiliations

  1. Wolfson Unit for Endoscopy, St. Mark’s Hospital, Harrow, Middlesex, United Kingdom

    Noriko Suzuki M.D., Brian P. Saunders M.D. & Siwan Thomas-Gibson M.R.C.P.

  2. Intestinal Imaging Centre, St. Mark’s Hospital, Harrow, Middlesex, United Kingdom

    Michele Marshall F.R.C.R. & Steve Halligan F.R.C.R.

  3. The London Clinic, London, United Kingdom

    Charles Akle F.R.C.S.

Authors
  1. Noriko Suzuki M.D.
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  2. Brian P. Saunders M.D.
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  3. Siwan Thomas-Gibson M.R.C.P.
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  4. Charles Akle F.R.C.S.
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  5. Michele Marshall F.R.C.R.
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  6. Steve Halligan F.R.C.R.
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Correspondence to Brian P. Saunders M.D..

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Suzuki, N., Saunders, B., Thomas-Gibson, S. et al. Colorectal Stenting for Malignant and Benign Disease: Outcomes in Colorectal Stenting. Dis Colon Rectum 47, 1201–1207 (2004). https://doi.org/10.1007/s10350-004-0556-5

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  • DOI: https://doi.org/10.1007/s10350-004-0556-5

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