Abstract
Aim
The aim of our retrospective study was to determine the effectiveness and safety of self-expandable metal stents in patients presenting with large bowel obstruction secondary to colorectal cancer (regardless of the tumour site), in a district general hospital setting.
Methods
All patients who had endoscopic colonic stents insertion for obstructive colorectal cancer between 2001 and 2005 at our centre were identified retrospectively from patients' discharge database and the unit database. The patients were divided into the 'palliation group' where the stents were inserted to relief symptoms only and the 'bridge group' where patients with resectable cancer underwent colonic stenting as a bridge to improve patient's general condition before definite surgery.
Results
Thirty-eight patients were included in the final analysis. Thirty-three tumours were in the distal colon and five were in more proximal lesions. Stent insertion was successful in 35 patients (92%). Overall clinical success was 71%. All five proximal colonic tumours (13%) had successful stent insertion. Mortality related to procedure was 2%, and the average survival in all patients was 141 days from time of stent insertion.
Conclusion
Colonic stent is a safe and effective method for relief of immediate symptoms of malignant distal and proximal large bowel obstruction.
Similar content being viewed by others
References
Corsale I, Foglia E, Mandato M, Rigutini M, Bartolomei M. Management of the neoplastic stenosis of the left colon with self-expandable endoprosthesis. G Chir. 2003;24(11–12):418–21.
Targownik LE, Spiegel BM, Sack J, Hines OJ, Dulai GS, Granlek IM, et al. Colonic stent vs. emergency surgery for management of acute left-sided malignant colonic obstruction: a decision analysis. Gastrointest Endosc. 2004;60(6):865–74.
Adler DG, Baron TH. Endoscopic palliation of colorectal cancer. Haematol Oncol Clin N Am. 2002;16:1015–29.
Fazio VW. Indications and surgical alternatives for palliation of rectal cancer. Soc Surg Alim Trac. 2004;8(3):263–5.
Camunez F, Echenagusia A, Simo G, Turegano F, Vazquez J, Barreiro-Meiro I. Malignant colorectal obstruction treated by means of self-expanding metallic stents: effectiveness before surgery and in palliaion. Vascular and interventional. Radiology. 2000;216(2):492–7.
Fiori E, Lamazza A, Burza A, Meucci M, Cavallaro G, Izzo L, et al. Malignant intestinal obstruction: useful technical advice in self-expanding metallic stent placement. Anticancer Res. 2004;24:3153–6.
Small AJ, Baron TH. Comparison of Wallstent and Ultraflex stents for palliation of malignant left-sided colon obstruction: a retrospective, case-matched analysis. Gastrointest Endosc. 2008;67(3):478–88.
Regimbeau JM, Yzet T, Brazier F, Jean F, Dumont F, Manouil D, et al. Self-expanding metallic stent in the management of malignant colonic obstruction. Ann Chir. 2004;129(4):203–10.
Johnson R, Marsh R, Corson J, Seymour K. A comparison of two methods of palliation of large bowel obstruction due to irremovable colon cancer. Ann R Coll Surg England. 2004;86(2):99–103.
Minty IL, Varma JS. Review of stenting for colonic malignancy. Oncology News. 2009;4(3):86–7.
Khot UP, Lang AW, Murali K, Parker MC. Systematic review of the efficacy and safety of colorectal stents. Br J Sutgery. 2002;89:1096–102.
Baron HT. Enteral stents. Visible Human Journal of Endoscopy. 2003;4(2):4–11.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Al Samaraee, A., Fasih, T. & Hayat, M. Use of Self-expandable Stents for Obstructive Distal and Proximal Large Bowel Cancer: A Retrospective Study in a Single Centre. J Gastrointest Canc 41, 43–46 (2010). https://doi.org/10.1007/s12029-009-9106-7
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12029-009-9106-7