title: Colorectal stenting: an advanced approach to malignant colorectal obstruction.
abstract: Some colorectal cancer (CRC) patients present symptoms of bowel obstruction, which is considered a surgical emergency. Because of poor medical condition and high incidence of post-surgical complications, there has been increasing use of self-expanding metal stents (SEMS) for the purpose of palliation or as a bridge to surgery with some benefits, including shorter hospital stays, lower rates of adverse events, and one-stage surgery. However, with increasing survival of CRC patients, there have been controversial data on clinical outcomes and complications, compared between SEMS use and surgery for treatment of malignant bowel obstruction. We review recent clinical data on clinical outcomes of SEMS use compared to surgery, including complications.
authors.affiliation: Sung Pil Hong, Tae Il Kim, Division of Gastroenterology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul 120-752, South Korea.
authors.forename: Sung Pil
authors.initials: SP
authors.lastname: Hong
authors.affiliation: Sung Pil Hong, Tae Il Kim, Division of Gastroenterology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul 120-752, South Korea.
authors.forename: Tae Il
authors.initials: TI
authors.lastname: Kim
mesh_terms: D003108:Colonic Diseases / Q000175:diagnosis / Q000209:etiology / Q000401:mortality / Q000628:therapy*; D015179:Colorectal Neoplasms / Q000150:complications* / Q000401:mortality; D003125:Colostomy; D003664:Decompression / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D019299:Decompression, Surgical; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology / Q000401:mortality / Q000628:therapy*; D010166:Palliative Care; D012002:Rectal Diseases / Q000175:diagnosis / Q000209:etiology / Q000401:mortality / Q000628:therapy*; D012307:Risk Factors; D015607:Stents; D016896:Treatment Outcome
keywords: Cancer; Colon; Obstruction; Palliation; Stent