Palliative on‐table antegrade stenting of proximal colon cancer

Endoluminal stenting for relief of colonic obstruction is safe and effective

“…This achieved successful decompression and the patient remained palliated until death 5 months later. This case is reported in detail elsewhere [ 9].…”

Laparoscopy and surface colotomy facilitates colonic stent insertion for malignant colonic lesions not amenable to traditional per anal retrograde dual operator approach

“…Technical failures in stent insertion are often due to anatomic constraints that prevent access to, or passage through, the obstruction [2]. Methods to overcome this include using an antegrade approach via percutaneous caecostomy [4] and with use of a sphincterotome to negotiate the guidewire across angulated lesions [5]. We believe that our method of colonic stenting via a retrograde approach through a distally placed colotomy has not been reported previously.…”

Colonic stenting

“…Furthermore, stenting in the right colon can be quite a technical challenge, in some circumstances an antegrade approach may be useful. 6 An ideal colonic stent is one that can be inserted easily transanally, can negotiate the colonic folds, be comfortably deployed, allow a sufficient channel for fecal material to pass, and remain in position. There are two types of metallic stent systems: expandable and self-expanding.…”