[Emergency decompression of a mechanical colonic ileus before elective surgery: first clinical results of fluoroscopic stent placement].
OBJECTIVE
Evaluation of fluoroscopic stent placement as an emergency therapeutical approach for treatment of acute large bowel obstruction due to colorectal neoplasm.


METHODS
From January to December 1996 in 11 patients suffering from colorectal stenosis due to known or supposed malignancy the indication for the fluoroscopic placement of self-expanding metal stents was established. All patients showed clinical and radiological signs of an acute mechanical large bowel obstruction. Elective single-stage surgery was planned if the decompression had been carried out successfully.


RESULTS
Stent placement was successful in 8 cases. Functional success in respect of resolving the acute large bowel obstruction was seen in 7 out of 11 patients. Elective surgery was possible in all 7 cases creating a primary end-to-end anastomosis without major complications during the perioperative period.


CONCLUSIONS
Fluoroscopic placement of self-expanding metal stents in malignant colorectal stenosis is a promising method to avoid emergency surgery.
Knöpfle
E
E
Klinik für Diagnostische Radiologie und Neuroradiologie, Zentralklinikum Augsburg.
Wamser
G
G
Mayer
H
H
Zügel
N
N
Bohndorf
K
K
D000368:Aged; D000369:Aged, 80 and over; D003108:Colonic Diseases / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D015179:Colorectal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D017558:Elective Surgical Procedures; D004630:Emergencies; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D008150:Lower Body Negative Pressure; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012811:Sigmoid Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D015607:Stents
Notfallmässige Entlastung des mechanischen Kolonileus vor der frühelektiven Operation: Erste Ergebnisse der durchleuchtungsgesteuerten Stentapplikation.