title: [Two Cases of Obstructive Colorectal Cancer Effectively Treated with Colonic Stent Placement].
abstract: We report 2 cases of obstructive colorectal cancer that were successfully treated with a self-expanding metallic stent (SEMS). They were both diagnosed with obstructive colorectal cancer. Colonoscopy was performed to make a definitive and qualitative diagnosis and to relieve the stenosis using a SEMS. The SEMSs were inserted without complications. A few days later, the patients underwent laparoscope-assisted sigmoidectomy with lymph node resection. Despite the colon obstruction, a primary anastomosis was performed. They were both discharged without complications. Obstructive colorectal cancer is an oncological emergency commonly observed in our daily clinical practice. Conventional treatments such as stoma creation or insertion of a trans-analdrainage tube have been performed. However, these treatments significantly reduce the patient's QOL. On the other hand, colonic stent placement plays a satisfactory role in improvement of the patient's QOL by paying scrupulous attention to retaining the colonic stent.
authors.affiliation: Dept. of Surgery, Tokyo Metropolitan Otsuka Hospital.
authors.forename: Taiki
authors.initials: T
authors.lastname: Masuda
authors.forename: Kenta
authors.initials: K
authors.lastname: Kobayashi
authors.forename: Masaki
authors.initials: M
authors.lastname: Kakimoto
authors.forename: Haruya
authors.initials: H
authors.lastname: Koshiishi
authors.forename: Tetsunori
authors.initials: T
authors.lastname: Yoshimura
mesh_terms: D000368:Aged; D003113:Colonoscopy; D015179:Colorectal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome