Stenting for malignant colorectal obstruction: a single-center experience with 101 patients

Keränen, Ilona; Lepistö, Anna; Udd, Marianne; Halttunen, Jorma; Kylänpää, Leena

doi:10.1007/s00464-011-1890-z

Cited by 29 publications

(18 citation statements)

References 23 publications

(30 reference statements)

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“…One important issue is the success of stenting extrinsic malignant stenosis. The technical and clinical success rates of placing SEMS in extracolonic malignancies have been reported to range from 67 to 96% and from 20 to 96%, respectively [23][24][25][26][27] , which are poor results when compared to those reported for stenting of colorectal cancer [28,29] . One retrospective study comparing SEMS placement for primary colonic tumor versus extracolonic malignancies reported an increased complication rate in the 112 extracolonic malignancy group (33 vs. 9%) [27] .…”

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confidence: 45%

“…One retrospective study comparing SEMS placement for primary colonic tumor versus extracolonic malignancies reported an increased complication rate in the 112 extracolonic malignancy group (33 vs. 9%) [27] . However, other studies did not report extrinsic obstruction as a risk factor for complications [28,29] . The recent ESGE guidelines suggest that it is generally advisable to attempt palliative stenting of extracolonic malignancies in order to avoid surgery in these patients who have a relatively short survival [8] .…”

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confidence: 99%

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Palliative Stenting for Malignant Large Bowel Obstruction: Stents for All?

Canena¹

2017

GE Port J Gastroenterol

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confidence: 45%

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confidence: 99%

Palliative Stenting for Malignant Large Bowel Obstruction: Stents for All?

Canena¹

2017

GE Port J Gastroenterol

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“…The ileus tube may be guided by an endoscope to provide lavage and obtain good results (6,13). However, the endoscopic catheter requires preparation including enema bowel cleaning prior to insertion, as well as gas injection during colonoscopy which causes considerable pain (14). Consequently, this procedure is not preferred by patients.…”

Section: Discussionmentioning

confidence: 99%

Clinical application of transanal ileal tube placement using X-ray monitoring

Shao

et al. 2016

Oncology Letters

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Colorectal cancer, which includes colon and rectal cancer, is a common digestive tract tumor. Although surgery is the primary form of treatment, there are a number of drawbacks, including patients experiencing considerable pain and high cost. The present study was undertaken to examine the clinical value of transanal ileal tube placement under X-ray monitoring. Thirty-six cases of left colon obstruction presenting to our hospital between July 2011 and February 2014, underwent transanal ileal tube placement using a single-curve catheter guided by a guidewire under X-ray monitoring. An ileal tube was successfully inserted into 32 patients. Clinical symptoms were alleviated effectively within 48 h. Indwelling catheter decompression time was 4–9 days with an average of 5.61 days. In two cases, the colon guidewire perforated into the abdominal cavity. Repeated exploration resistance of the guidewire and catheter indicated stenosis at this position owing to obstruction. In conclusion, transanal placement of the ileal tube through X-ray monitoring is capable of effectively alleviating the symptoms of ileus. Thus, this constitutes a safe, effective, and economical method that is acceptable to patients.

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“…Der Stent ist nicht geeignet für gutartige Erkrankungen [20]. Schwierig wird es bei extraluminalen Tumoren [14].…”

Section: Tab 1 Lokalisation Und Tumorstadiumunclassified