title: Expandable metal stents for malignant colorectal strictures.
abstract: The surgical management of malignant colorectal obstruction is still controversial and has higher associated mortality and complication rates compared with elective surgery. Placement of self-expanding metallic stents (SEMS) has been proposed as an alternative therapeutic approach for colonic decompression of patients with acute malignant obstruction. SEMS placement may be used both as a bridge to surgery in patients who are good candidates for curative resection and for palliation of those patients presenting with advanced stage disease or with severe comorbid medical illnesses.
authors.affiliation: Digestive Endoscopy Unit, IRCCS Istituto Clinico Humanitas, Via Manzoni 56, 20089 Rozzano, Milano, Italy. alessandro.repici@humanitas.it
authors.forename: Alessandro
authors.initials: A
authors.lastname: Repici
authors.forename: Daniel
authors.initials: D
authors.lastname: de Paula Pessoa Ferreira
mesh_terms: D003106:Colon; D003110:Colonic Neoplasms / Q000150:complications*; D000075202:Contraindications; D004724:Endoscopy / Q000379:methods; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000628:therapy*; D007416:Intestinal Perforation / Q000209:etiology; D008670:Metals; D010166:Palliative Care; D011475:Prosthesis Failure / Q000009:adverse effects; D012004:Rectal Neoplasms / Q000150:complications*; D015607:Stents / Q000009:adverse effects
chemical_list: D008670:Metals