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.
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
Giuseppe
G
Piccinni
Anna
A
Angrisano
Mario
M
Testini
G Martino
GM
Bonomo
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