Stent endoprosthesis for obstructing colorectal cancers.
OBJECTIVE
Purpose of this study was to assess stent endoprosthesis for colorectal cancer (SECC) as an adjuvant to operative preparation in patients with obstructing colorectal cancers.


METHODS
A self-expanding stainless steel stent was inserted in 15 patients with obstructing colorectal cancers under colonoscopic observation and fluoroscopic control. Following successful SECC, the colon was mechanically prepared using polyethylene glycol. Definitive surgical treatment then was undertaken.


RESULTS
All 12 patients in whom the stent had been successfully placed recovered intestinal transit and tolerated mechanical preparation. A satisfactory preparation was confirmed during the operation. Two perforations and one dislocation were encountered.


CONCLUSIONS
SECC is a new method for operative preparation of patients with obstructing colorectal cancers, which may reduce morbidity and mortality associated with this difficult problem.
Saida
Y
Y
Third Department of Surgery, Toho University School of Medicine, Tokyo, Japan.
Sumiyama
Y
Y
Nagao
J
J
Takase
M
M
D000368:Aged; D015179:Colorectal Neoplasms / Q000150:complications* / Q000601:surgery; D004724:Endoscopy; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D015607:Stents; D016896:Treatment Outcome