ABSTRACT
Colonic obstruction is common with malignancy as the most common cause. Endoscopic placement of intraluminal self-expanding stents is a newer option to manage this challenging problem. In benign disease, endoscopic dilatation may play a role whereas stenting can serve as a bridge to surgery. Indications and placement techniques are discussed along with a summary of published results and complications.
KEYWORDS
Colonic obstruction - stents - self-expanding - endoscopy - dilatation
REFERENCES
-
1 Beck D E. Use of stents for colonic obstruction. In: Cameron JL, Cameron AM Current Surgical Therapy. 10th ed. Philadelphia; Elsevier Mosby In press
-
2
Deans G T, Krukowski Z H, Irwin S T.
Malignant obstruction of the left colon.
Br J Surg.
1994;
81(9)
1270-1276
-
3
Gandrup P, Lund L, Balslev I.
Surgical treatment of acute malignant large bowel obstruction.
Eur J Surg.
1992;
158(8)
427-430
-
4
Tierney W, Chuttani R, Croffie J et al..
Enteral stents.
Gastrointest Endosc.
2006;
63(7)
920-926
-
5
Sebastian S, Johnston S, Geoghegan T, Torreggiani W, Buckley M.
Pooled analysis of the efficacy and safety of self-expanding metal stenting in malignant colorectal obstruction.
Am J Gastroenterol.
2004;
99(10)
2051-2057
-
6
Khot U P, Lang A W, Murali K, Parker M C.
Systematic review of the efficacy and safety of colorectal stents.
Br J Surg.
2002;
89(9)
1096-1102
-
7
Watt A M, Faragher I G, Griffin T T, Rieger N A, Maddern G J.
Self-expanding metallic stents for relieving malignant colorectal obstruction: a systematic review.
Ann Surg.
2007;
246(1)
24-30
-
8
Camúñez F, Echenagusia A, Simó G, Turégano F, Vázquez J, Barreiro-Meiro I.
Malignant colorectal obstruction treated by means of self-expanding metallic stents: effectiveness before surgery and in palliation.
Radiology.
2000;
216(2)
492-497
-
9
Law W L, Choi H K, Lee Y M, Chu K W.
Palliation for advanced malignant colorectal obstruction by self-expanding metallic stents: prospective evaluation of outcomes.
Dis Colon Rectum.
2004;
47(1)
39-43
-
10
Karoui M, Charachon A, Delbaldo C et al..
Stents for palliation of obstructive metastatic colon cancer: impact on management and chemotherapy administration.
Arch Surg.
2007;
142(7)
619-623
discussion 623
-
11
Kim J S, Hur H, Min B S, Sohn S K, Cho C H, Kim N K.
Oncologic outcomes of self-expanding metallic stent insertion as a bridge to surgery in the management of left-sided colon cancer obstruction: comparison with nonobstructing elective surgery.
World J Surg.
2009;
33(6)
1281-1286
-
12
Repici A, Adler D G, Gibbs C M, Malesci A, Preatoni P, Baron T H.
Stenting of the proximal colon in patients with malignant large bowel obstruction: techniques and outcomes.
Gastrointest Endosc.
2007;
66(5)
940-944
-
13
Aston N O, Owen W J, Irving J D.
Endoscopic balloon dilatation of colonic anastomotic strictures.
Br J Surg.
1989;
76(8)
780-782
-
14
Stone J M, Bloom R J.
Transendoscopic balloon dilatation of complete colonic obstruction. An adjunct in the treatment of colorectal cancer: report of three cases.
Dis Colon Rectum.
1989;
32(5)
429-431
-
15
Williams A J, Palmer K R.
Endoscopic balloon dilatation as a therapeutic option in the management of intestinal strictures resulting from Crohn's disease.
Br J Surg.
1991;
78(4)
453-454
-
16
Dear K L, Hunter J O.
Colonoscopic hydrostatic balloon dilatation of Crohn's strictures.
J Clin Gastroenterol.
2001;
33(4)
315-318
-
17
Miller E S, Barnett R M, Williams R B.
Sigmoid endometriotic stricture treated with endoscopic balloon dilatation: case report and literature review.
Md Med J.
1990;
39(12)
1081-1084
-
18
Small A J, Young-Fadok T M, Baron T H.
Expandable metal stent placement for benign colorectal obstruction: outcomes for 23 cases.
Surg Endosc.
2008;
22(2)
454-462
David E BeckM.D.
Department of Colon and Rectal Surgery, Ochsner Clinic Foundation
1514 Jefferson Hwy., New Orleans, LA 70121
Email: dbeckmd@aol.com