title: Insertion of self expandable metal stent for malignant stomal obstruction in a patient with advanced colon cancer.
abstract: Self expandable metal stent can be used both as palliative treatment for malignant colorectal obstruction and as a bridge to surgery in patients with potentially resectable colorectal cancer. Here, we report a case of successful relief of malignant stomal obstruction using a metal stent. A 56-year-old man underwent loop ileostomy and was given palliative chemotherapy for ascending colon cancer with peritoneal carcinomatosis. Eight months after the surgery, he complained of abdominal pain and decreased fecal output. Computed tomography and endoscopy revealed malignant stomal obstruction. Due to his poor clinical condition, we inserted the stent at the stomal orifice, instead of additional surgery, and his obstructive symptoms were successfully relieved. Stent insertion is thought to be a good alternative treatment for malignant stomal obstruction, instead of surgery.
authors.affiliation: Department of Gastroenterology, Ajou University School of Medicine, Suwon, Korea.
authors.forename: Jeong Ook
authors.initials: JO
authors.lastname: Wi
authors.forename: Sung Jae
authors.initials: SJ
authors.lastname: Shin
authors.forename: Jun Hwan
authors.initials: JH
authors.lastname: Yoo
authors.forename: Jeong Woo
authors.initials: JW
authors.lastname: Choi
authors.forename: Byung-Hyun
authors.initials: BH
authors.lastname: Yoo
authors.forename: Sun Gyo
authors.initials: SG
authors.lastname: Lim
authors.forename: Kee Myung
authors.initials: KM
authors.lastname: Lee
authors.forename: Jin Hong
authors.initials: JH
authors.lastname: Kim