Colorectal obstruction: treatment with metallic stents.
OBJECTIVE
To evaluate the usefulness of self-expandable metallic stents in the treatment of acute colonic obstruction secondary to colorectal neoplasm.


METHODS
Stents were placed in 12 patients with clinical and radiologic signs of acute colonic obstruction. After symptom improvement, patients underwent radiologic staging. Single-stage surgery was performed in patients without disseminated disease.


RESULTS
Stent placement was successful in all patients. Signs and symptoms of intestinal obstruction resolved within 24 hours of stent placement in 10 patients (83%). In two patients with massive bowel dilation, improvement was evident 2 and 4 days after stent placement. Ten patients underwent elective single-stage surgery with partial colonic resection and creation of a primary end-to-end anastomosis without major complications. In two patients with disseminated neoplastic disease, stent placement was considered the primary palliative treatment.


CONCLUSIONS
Metallic stent placement to relieve acute colonic obstruction secondary to colorectal carcinoma is a safe therapeutic alternative, allowing single-stage surgery in suitable cases. In patients who are not surgical candidates it is an adequate palliative option.
Mainar
A
A
Department of Surgery, Hospital Central del Insalud de Soria, Spain.
Tejero
E
E
Maynar
M
M
Ferral
H
H
Castañeda-Zúñiga
W
W
D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D003108:Colonic Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D015179:Colorectal Neoplasms / Q000150:complications; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D008297:Male; D008670:Metals; D008875:Middle Aged; D010166:Palliative Care; D015641:Radiography, Interventional; D012002:Rectal Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D015607:Stents
D008670:Metals