title: [Repeated Insertion of Self-Expandable Metallic Stents as a Palliative Therapy for Unresectable Colorectal Cancer].
abstract: A 62-year-old man was admitted to our hospital for malignant rectal stricture due to metastatic rectal cancer. He underwent placement of a self-expandable metallic stent (SEMS). After the administration of 5 courses of FOLFOX4 with bevacizumab, chemotherapy-induced tumor shrinkage led to migration of the SEMS, which was removed immediately without complication. After 10 courses of chemotherapy, he had to discontinue the treatment due to liver failure resulting from tumor progression. Another SEMS was successfully inserted for the progression of rectal stenosis. The patient's QOL was maintained to the end with the SEMS. This case suggests that although it is essential to pay attention to possible complications, SEMS insertion is a very useful procedure for palliative therapy.
authors.affiliation: Dept. of Surgery, Fukaya Red Cross Hospital.
authors.forename: Chizu
authors.initials: C
authors.lastname: Yamada
authors.forename: Fumihiko
authors.initials: F
authors.lastname: Ishikawa
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Nitta
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Fujita
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Omoto
authors.forename: Shigeyuki
authors.initials: S
authors.lastname: Kamata
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Ito
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D017809:Fatal Outcome; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000628:therapy*; D008113:Liver Neoplasms / Q000556:secondary / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D012004:Rectal Neoplasms / Q000150:complications / Q000473:pathology / Q000628:therapy*; D000069322:Self Expandable Metallic Stents