Abstract
Aims
Endoscopic placement of Self Expandable Metal Stents to relieve malignant colorectal
obstruction has become a common therapeutic advancement in clinical practice.
Methods
In a 16 year period 145 patients had endoscopic placement of a Self-Expandable Metal
Stent for acute/subacute left sided malignant colorectal obstruction in a center where
gastroenterologists and surgeons cooperate in a daily basis, discussing indications.
Results
There was no operative mortality and no major complication in placement of the stent.
Technical and clinical success was respectively 94.5% and 91.8%. Consultation among
specialists changed the preoperative indication in 60 patients.
Conclusions
Self-Expandable Metal Stents placement represents an important tool to treat patients
with obstructing colorectal cancer. Surgical resection, diverting stoma or endoscopic
stent placement should be chosen according to the clinical characteristics of each
single patient. In this scenario, a close collaboration among specialists in selecting
the most appropriate operative procedure is essential and brings to better results.
Keywords
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Article info
Publication history
Published online: July 16, 2020
Accepted:
July 15,
2020
Received in revised form:
June 17,
2020
Received:
November 1,
2019
Identification
Copyright
© 2020 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.
