[Preliminary experience on the application of metallic stents for treatment of colorectal malignant stenosis].
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.
Cantarella
Francesco
F
Dipartimento di Scienze Chirurgiche, Radiologiche e Odontostomatologiche, Sezione di Chirurgia Generale e d'Urgenza, Università degli Studi di Perugia. francesco.cantarella@alice.it
Bugiantella
Walter
W
Mingrone
Elvira
E
Graziosi
Luigina
L
Ricci
Patrizia
P
Rossi
Paolo
P
Donini
Annibale
A
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
D008670:Metals