title: [Preliminary experience on the application of metallic stents for treatment of colorectal malignant stenosis].
abstract: OBJECTIVE
  Application of SEMS in treating colorectal obstruction caused by both intrinsic and extrinsic tumours.
  
  
  METHODS
  From December 2007 to February 2008 two patient underwent colorectal stenting. The first patient was affected by sigma neoplasia with multiple lung and liver metastases; the second one had a distal colonic obstruction caused by pelvic relapse of endometrial adenocarcinoma.
  
  
  RESULTS
  In both patients successful decompression, defined as complete relief of bowel obstruction as judged by clinical symptoms and radiographic observation, was achieved. The first patient died 1 month later for disease progression after the I cycle with Capecitabine. The second patient is undergoing the II cycle with Adriamicina and Cisplatino.
  
  
  CONCLUSIONS
  In our experience no precocious or posthumous complications were observed and we evaluated that SEMSs are useful in both intrinsic and extrinsic colorectal malignancies.
  
  
  CONCLUSIONS
  SEMSs allow a rapid decompression, reduce the number of emergency surgical procedures--and also the need for stomas--in poor general condition patients, achieving a better quality of life for patient with a short estimated life and a one-stage elective surgery for patient with resectable disease.
authors.affiliation: Dipartimento di Scienze Chirurgiche, Radiologiche e Odontostomatologiche, Sezione di Chirurgia Generale e d'Urgenza, Università degli Studi di Perugia. francesco.cantarella@alice.it
authors.forename: Francesco
authors.initials: F
authors.lastname: Cantarella
authors.forename: Walter
authors.initials: W
authors.lastname: Bugiantella
authors.forename: Elvira
authors.initials: E
authors.lastname: Mingrone
authors.forename: Luigina
authors.initials: L
authors.lastname: Graziosi
authors.forename: Patrizia
authors.initials: P
authors.lastname: Ricci
authors.forename: Paolo
authors.initials: P
authors.lastname: Rossi
authors.forename: Annibale
authors.initials: A
authors.lastname: Donini
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D012809:Colon, Sigmoid / Q000473:pathology; D015179:Colorectal Neoplasms / Q000150:complications* / Q000401:mortality / Q000473:pathology / Q000601:surgery* / Q000628:therapy; D017558:Elective Surgical Procedures / Q000379:methods; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000401:mortality / Q000473:pathology / Q000601:surgery* / Q000628:therapy; D008297:Male; D008670:Metals; D011788:Quality of Life; D012189:Retrospective Studies; D015607:Stents; D016019:Survival Analysis; D016896:Treatment Outcome
chemical_list: D008670:Metals