Side-viewing endoscope for colonic self-expandable metal stenting in patients with malignant colonic obstruction.
Malignant colon obstruction is a medical emergency and endoscopic decompression, achieved by self-expandable metal stent placement, has been broadly used for both palliation in patients with advanced, nonresectable carcinoma and as a bridge to surgery in those patients with resectable disease. We propose stent insertion assisted by a side-viewing endoscope, in sharply angulated and remarkably stenotic lesions located at the distal sigmoid. Endoscopists should consider, at least for lesions situated in the distal colon, the insertion of a side-viewing endoscope for stenting of technically difficult cases of malignant intestinal obstruction.
Cennamo
Vincenzo
V
Department of Internal Medicine and Gastroenterology, University of Bologna, Bologna, Italy.
Fuccio
Lorenzo
L
Laterza
Liboria
L
Ceroni
Liza
L
Eusebi
Leonardo H
LH
Fabbri
Carlo
C
Bazzoli
Franco
F
D000368:Aged; D003110:Colonic Neoplasms / Q000150:complications; D020685:Colonoscopes; D004630:Emergencies; D004867:Equipment Design; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D008297:Male; D010166:Palliative Care / Q000379:methods; D015607:Stents