title: [A Case of Peritoneal Metastasis in Which Colostomy Was Useful for Restenosis after Stenting].
abstract: We report a case of restenosis after performing stenting twice for ileus caused by peritoneal dissemination that occurred after surgery for sigmoid colon cancer, in which colostomy was performed to improve the patient's QOL. The patient was a 58-year-old woman who underwent sigmoidectomy for sigmoid colon cancer. She presented with a peritoneal recurrence 3 times, and the third surgery was a non-curative resection. Chemotherapy was administered but was discontinued because of severe adverse events, and the patient was followed up with the best supportive care. An anastomotic stricture occurred 4 years after the initial surgery, and despite performing stenting twice, stenosis occurred 3 times within a few months. The third stenosis occurred shortly after the second episode, and colostomy was therefore performed. The patient died from cancer 4 months after colostomy without having another episode of stenosis. Although stenting is effective for patients with malignant colon stenosis, colostomy appears to be more effective for repeated post-stenting stenosis, when the patient is in an eligible general condition.
authors.affiliation: Dept. of Surgery, Tokyo Women's Medical University Medical Center East.
authors.forename: Hiroko
authors.initials: H
authors.lastname: Tagawa
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Yoshimatsu
authors.forename: Hajime
authors.initials: H
authors.lastname: Yokomizo
authors.forename: Yuki
authors.initials: Y
authors.lastname: Yano
authors.forename: Mao
authors.initials: M
authors.lastname: Nakayama
authors.forename: Sachiyo
authors.initials: S
authors.lastname: Okayama
authors.forename: Masaya
authors.initials: M
authors.lastname: Satake
authors.forename: Akiko
authors.initials: A
authors.lastname: Sakuma
authors.forename: Atsuo
authors.initials: A
authors.lastname: Matsumoto
authors.forename: Takashi
authors.initials: T
authors.lastname: Fujimoto
authors.forename: Shunichi
authors.initials: S
authors.lastname: Shiozawa
authors.forename: Takeshi
authors.initials: T
authors.lastname: Shimakawa
authors.forename: Takao
authors.initials: T
authors.lastname: Katsube
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Kato
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Naritaka
mesh_terms: D003125:Colostomy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D008875:Middle Aged; D010534:Peritoneal Neoplasms / Q000556:secondary*; D012811:Sigmoid Neoplasms / Q000473:pathology* / Q000601:surgery; D015607:Stents