title: [Two Effective Cases of Re-Insertion of Self-Expanding Metallic Stent(SEMS)for Re-Obstruction of Colon Cancer after SEMS Treatment].
abstract: Recently, self-expanding metallic stent (SEMS) have been found to be useful for treatment of intestinal obstruction by colorectal cancer, either as a bridge to surgery or terminal treatment. When SEMS are used for patients in the terminal stage with obstruction due to colorectal cancer, re-obstruction is a severe problem. We report 2 cases of re-insertion of SEMS for obstruction of colon cancer after the first insertion of SEMS. No major problems occurred in either the 2 cases. In the first case, the patient suffered from re-obstruction of colon cancer 6 months after the first SEMS treatment and died 9 months after the second SEMS treatment. In the second case, the patient suffered from re-obstruction of colon cancer 5 months after the first SEMS treatment and died 7 months after the second SEMS treatment. Re-insertion of SEMS for a second obstruction due to colorectal cancer after SEMS treatment is useful for terminal treatment for maintaining QOL.
authors.affiliation: Dept. of Surgery, Hyogo Prefectural Nishinomiya Hospital.
authors.forename: Kiminori
authors.initials: K
authors.lastname: Yanagisawa
authors.forename: Shinichi
authors.initials: S
authors.lastname: Yoshioka
authors.forename: Mutsumi
authors.initials: M
authors.lastname: Fukunaga
authors.forename: Ryohei
authors.initials: R
authors.lastname: Yukimoto
authors.forename: Shinji
authors.initials: S
authors.lastname: Tokuyama
authors.forename: Akina
authors.initials: A
authors.lastname: Saitou
authors.forename: Masahiko
authors.initials: M
authors.lastname: Kubo
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Okada
authors.forename: Hideo
authors.initials: H
authors.lastname: Ota
authors.forename: Masaki
authors.initials: M
authors.lastname: Kashiwazaki
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Miki
authors.forename: Kenji
authors.initials: K
authors.lastname: Kobayashi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015179:Colorectal Neoplasms / Q000150:complications / Q000628:therapy*; D005260:Female; D006801:Humans; D045823:Ileus / Q000209:etiology / Q000628:therapy*; D008297:Male; D010166:Palliative Care; D011788:Quality of Life; D000069322:Self Expandable Metallic Stents; D016896:Treatment Outcome