Placement of a colonic stent by percutaneous colostomy in a case of malignant stenosis

Herrero, Helena Gómez; Díaz, Laura Paúl; Pabón, Isabel Pinto; Fernández, Ricardo Sanz

doi:10.1007/s002700001726

Cited by 12 publications

(6 citation statements)

References 10 publications

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“…Treatment with dolantin was not satisfactory, and venous injection of omeprazole and peridural anesthesia were used for 2 days to relieve the pain. In terms of pain after stent placement, the incidence (16.7%) was slightly higher than those reported previously [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] . This may be attributable to the types of lesions and size of the stents.…”

Section: Discussioncontrasting

confidence: 44%

Complications of stent placement for benign stricture of gastrointestinal tract

Cheng¹,

Li²,

Chen³

et al. 2004

WJG

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Section: Discussioncontrasting

confidence: 44%

Complications of stent placement for benign stricture of gastrointestinal tract

Cheng¹,

Li²,

Chen³

et al. 2004

WJG

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“…Although the technique has been used to treat obstructive defaecation 9 and faecal incontinence 4 , and used antegradely to deploy colonic stents that are inaccessible from the distal end of malignant strictures 10 , the only other indication in this series was slow-transit constipation. The primary aims of treatment in these patients are to keep the patient acceptably clean, facilitate ordered and socially acceptable evacuation, and adequately to treat the symptoms of abdominal pain, bloating and distension.…”

Section: Discussionmentioning

confidence: 99%

Prospective analysis of percutaneous endoscopic colostomy at a tertiary referral centre

Baraza

Brown

McAlindon

et al. 2007

British Journal of Surgery

101

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“…The percutaneous approach route has previously been described in the literature for the implantation of colonic stents (2). Our procedure has some differences and advantages compared to the previously described procedure in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…The use of percutaneous colostomy for the implantation of stent in the treatment of malignant obstruction of the colon has previously been described (2). The procedure was chosen due to intestinal perforation during the endoscopic intervention.…”

Section: Discussionmentioning

confidence: 99%

Retrograde Colonic Stent Implantation Assisted by Percutaneous Colostomy: A Case Report

Lim

Han

Chun

2009

J Korean Soc Radiol

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Palliative treatments for malignant stenosis or obstruction of the colon include surgical and interventional therapy options. With an acceptable risk level, palliative tumor resection is the treatment of choice depending on tumor location, tumor extension, and others. If surgical therapy is not a reasonable option, an alternative option would be the implantation of a stent.Unfortunately, the implantation of a stent through the anus can often be difficult or impossible because of factors such as the inability to pass a guide wire through the lesion due to complete obstruction or obstruction over a long segment, as well as anatomic difficulties such as a severely angulated and "fixed" sigmoid, which prevents advancement to the site of the lesion (1). Although some of these factors can be surmounted, it is not always the case. In this case, inability to pass a guide wire through the lesion was due to a long segmental obstruction, which made stent implantation impossible. However, it was made possible through the anus with the assistance of percutaneous colostomy. This strategy was allowed with the permission of the patient and his family prior to the procedure.The use of percutaneous colostomy for the implantation of a stent has been described in a prior study (2). But, in our case, the use of percutaneous colostomy assisted the implantation of a stent through the anus, with several advantages. Case ReportA 52-year-old man with progressive abdominal bloating and constipation was referred to our interventional radiology department. The patient had a history of pancreatic cancer with invasion in the celiac trunk and splenic artery and had been treated with radiation and chemotherapy. On contrast material-enhanced computed tomography (CT) of the abdomen, luminal narrowing of the sigmoid colon accompanying distention of proximal colon was observed. A sigmoidoscopy performed after two weeks showed poor bowel preparation, rectal hemorrhage without a definite bleeding focus or mass. A barium enema, performed 2 days after the sigmoi- We present a patient with disseminated pancreatic cancer who presented with symptoms of acute obstruction of the sigmoid colon. It was not possible to pass the region of the obstruction with a guide wire under colonoscopy and fluoroscopy. Consequently retrograde implantation of stents was performed successfully with the assistance of a minimally-sized colostomy when compared with a previously described procedure in the literature.

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Placement of a colonic stent by percutaneous colostomy in a case of malignant stenosis

Cited by 12 publications

References 10 publications

Complications of stent placement for benign stricture of gastrointestinal tract

Complications of stent placement for benign stricture of gastrointestinal tract

Prospective analysis of percutaneous endoscopic colostomy at a tertiary referral centre

Retrograde Colonic Stent Implantation Assisted by Percutaneous Colostomy: A Case Report

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