Self-expanding Metallic Stent Placement in Malignant Terminal Ileal Stricture

Abstract

Malignancies of gastro-intestinal tract cause stricture formation that leads to intestinal obstruction. In such cases, either surgery or placement of self-expanding metallic stents (SEMS) are options of palliation. For left sided colorectal obstruction, SEMS have been widely used and reported. Luminal stenting is not always an easy task to perform because of altered anatomy of the surrounding structures, specially in the right side of colon and terminal ileum. SEMS placement, particularly in the ileocecal region, is technically difficult. Few studies on SEMS deployment in right sided colon have been reported till now. We report a case of metastatic signet ring cell carcinoma of rectosigmoid junction with malignant terminal ileal stricture palliation done with placement of SEMS.

Combination of transnasal ileus tube and local small intestine artery perfusion chemotherapy for late malignant small bowel obstruction

“…Moreover, GPS and KPS scores in various postoperative periods were lower than those in the control group (P < 0.05). our results could comparable to previous studies using other palliative tube decompression percutaneous endoscopic gastrostomy (PEG) [21,40,43] or percutaneous radiologic gastrostomy (PRG) [20,22,38] and intraluminal stent installation [33,36,37,41,42] . This indicates that the combination of ileus tube and arterial infusion chemotherapy can effectively relieve clinical symptoms of malignant small bowel obstruction and signi cantly prolong patient survival time.…”

“…The objectives of this study were to resolve the painful symptoms of intestinal obstruction in patients with MPO using minimally invasive techniques [36,37] , augment the consumption of suitable enteral nutrition to ameliorate the microenvironment in the small intestine, diminish infection rates while simultaneously boosting immunity, and enhance the quality of life for patients with end-stage tumors. Therefore, non-surgical interventions, such as the utilization of transnasal ileus tube, may be deemed more appropriate for these patients [38] , This is primarily due to the simpli ed and expedited nature of the procedure compared to surgery, the relatively lax physiological condition of the patients, the reduced number of contraindications, and the broader range of indications.…”

Transanal ileus catheter combined with nasal ileus catheter in the treatment of malignant ileus in 14 cases: a case series and literature review

“…Most of the clinical application of drugs to relieve cancer pain (10), and long-term parenteral nutrition for maintenance treatment, greatly reducing the quality of life of patients with tumor survival. We hope to improve the painful symptoms of intestinal obstruction through minimally invasive techniques (11,12), increase the intake of appropriate enteral nutrition to improve the microenvironment in the small intestine, reduce infection while also increasing immunity, which will lay the foundation for subsequent surgical treatment or chemoradiotherapy for cancer patients and improve the quality of life of patients with end-stage tumors. The treatment of malignant intestinal obstruction is divided into surgical treatment and non-surgical treatment.…”

Malignant obstruction in the ileocecal region treated by self-expandable stent placement under the fluoroscopic guidance: A case report

“…The ileocecal region is the site of many common and frequent diseases, among which malignant tumors of the colon are one of the most prevalent. In turn, the tumors are highly susceptible to malignant colonic obstruction (MCO), with approximately 8%-29% of patients presenting with acute intestinal obstruction as a clinical symptom[ 1 , 2 ]. In recent years, placement of a self-expandable metallic stent (SEMS) under the guidance of fluoroscope or endoscope has been more widely used in treating intestinal malignant obstruction.…”