title: Repeated coaxial colonic stenting in the palliative management of benign colonic obstruction.
abstract: In inflammatory bowel disease, strictures of the colon, causing bowel obstruction, is not uncommon. Usually an operative procedure can deal with these strictures. We describe a case of an unfit patient with pulmonary malignancy having a Crohn's stricture of the recto-sigmoid junction in which repeated coaxial placement of self-expanding metallic stents eliminated the need to perform an operation. This is the first report of multiple coaxial colonic stenting. It shows that there is a place for stents in selected cases of inflammatory bowel disease with a limited life expectancy and that repeated colonic stenting makes colonic stenting possible also in patients requiring stents for longer time periods.
authors.affiliation: Colorectal Unit, Department of Surgery and Urology, Eskilstuna County Hospital, Eskilstuna, Sweden. george.dafnis@telia.com
authors.forename: George
authors.initials: G
authors.lastname: Dafnis
mesh_terms: D000368:Aged; D003108:Colonic Diseases / Q000601:surgery*; D003424:Crohn Disease / Q000150:complications; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D008175:Lung Neoplasms / Q000150:complications; D010166:Palliative Care / Q000379:methods*; D012086:Reoperation; D015607:Stents