Purpose
Palliation of patients with unresectable colorectal carcinoma is an effective treatment and technical failure is undesirable. Insertion of colorectal stent using a combined radiologic and colonoscopic technique may be technically limited by the ability to negotiate tortuous bends, particularly if the bowel is fixed.
Methods
We used a through scope sphincterotome, which improved the ability to traverse difficult strictures.
Results
We have used the technique in four cases as a last resort. This resulted in a technical success in all four cases (100 percent).
Conclusions
Sphincterotome is a useful adjunct in stenting difficult colorectal tumor strictures.
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References
CS Shim JY Cho IS Jung et al. (2004) ArticleTitleThrough the scope double colonic stenting in the management of inoperable proximal malignant colonic obstruction: a pilot study Endoscopy 36 426–431 Occurrence Handle15100952 Occurrence Handle10.1055/s-2004-814332 Occurrence Handle1:STN:280:DC%2BD2c3gt1Skug%3D%3D
WL Law HK Choi YM Lee et al. (2004) ArticleTitlePalliation for advanced malignant colorectal obstruction by self expanding metallic stents: prospective evaluation of outcomes Dis Colon Rectum 47 39–43 Occurrence Handle14719149 Occurrence Handle10.1007/s10350-003-0005-x
D Xinopoulos D Dimitroulopoulos T Theodosopoulos et al. (2004) ArticleTitleStenting or stoma creation for patient with inoperable malignant colonic obstructions? Results of a study and cost effectiveness analysis Surg Endosc 18 421–426 Occurrence Handle14735348 Occurrence Handle10.1007/s00464-003-8109-x Occurrence Handle1:STN:280:DC%2BD2c3gtlersQ%3D%3D
S Meisner M Hensler FK Knop et al. (2004) ArticleTitleSelf expanding metal stents for colonic obstruction: experiences from 104 procedures in a single center Dis Colon Rectum 47 444–450 Occurrence Handle14994110 Occurrence Handle10.1007/s10350-003-0081-y
M Keymling (2003) ArticleTitleColorectal stenting Endoscopy 35 234–238 Occurrence Handle12584644 Occurrence Handle10.1055/s-2003-37265 Occurrence Handle1:STN:280:DC%2BD3s%2Fntlemsg%3D%3D
HU Laasch A Tringall L Wilbraham et al. (2003) ArticleTitleComparison of standard and steerable catheters for bile duct cannulation at ERCP Endoscopy 35 669–674 Occurrence Handle12929062 Occurrence Handle10.1055/s-2003-41515
AJ Watson V Shanmugan L Mackay et al. (2005) ArticleTitleOutcomes after placement of colorectal stents Colorectal Dis 7 70–73 Occurrence Handle15606589 Occurrence Handle10.1111/j.1463-1318.2004.00727.x Occurrence Handle1:STN:280:DC%2BD2cnjtFGqtg%3D%3D
J Vandervoort RM Soetikmo TC Tham et al. (2002) ArticleTitleRisk factors for complications after performance of ERCP Gastrointest Endosc 56 652–656 Occurrence Handle12397271 Occurrence Handle10.1016/S0016-5107(02)70112-0
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Armstrong, E.M., Fox, B.M. Assistance of Colorectal Stent Insertion by Sphincterotome. Dis Colon Rectum 50, 399–400 (2007). https://doi.org/10.1007/s10350-006-0715-y
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DOI: https://doi.org/10.1007/s10350-006-0715-y