Definitive palliation for neoplastic colonic obstruction using enteral stents: personal case-series with literature review.
Acute colonic obstruction due to malignancies is an emergency that requires surgical treatment. Elderly patients or inoperable tumors require intestinal decompression that is a simple colostomy in almost all cases. This "manoeuvre" leads the patient to a percentage of mortality/morbidity and to a bad quality of life due to acceptance of stoma. The introduction of enteral metal stent inserted endoscopically has, in our opinion, provided a new way to obtaining the definitive palliation of inoperable colo-rectal cancer with a simple method. We reported our case-series and we analyzed the current literature and costs of treatments.
Piccinni
Giuseppe
G
Sezione di Chirurgia Generale, Vascolare ed Oncologia Clinica, Dipartimento per le Applicazioni in Chirurgia delle Tecnologie Innovative Universita di Bari, Policlinico, Piazza G. Cesare 11, 70124 Bari, Italy. beppepiccinni@tin.it
Angrisano
Anna
A
Testini
Mario
M
Bonomo
G Martino
GM
D000368:Aged; D000369:Aged, 80 and over; D003110:Colonic Neoplasms / Q000601:surgery*; D004724:Endoscopy; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000601:surgery*; D008297:Male; D010166:Palliative Care / Q000379:methods*; D015607:Stents