Endoscopy 2002; 34(10): 823-830
DOI: 10.1055/s-2002-34271
The Expert Approach

© Georg Thieme Verlag Stuttgart · New York

Expandable Metal Stent Placement for Malignant Colorectal Obstruction

T.  H.  Baron 1 , J.  F.  Rey 2 , P.  Spinelli 3
  • 1Department of Medicine, Division of Gastroenterology and Hepatology, Mayo Foundation, Rochester, Maryland, USA
  • 2Departement D'Hépatologie et de Gastro-Entérologie, Institut A. Tzanck, St. Laurent du Var, France
  • 3Divisione di Endoscopia, Instituto Nazionale per lo Studio e la Cura dei Tumori, Milan, Italy
Further Information

Publication History

Publication Date:
23 September 2002 (online)

Objectives

Most outcome data for placement of self-expanding metal stents (SEMS) within the gastrointestinal tract comes from experience of their use within the esophagus and biliary tree. In 1992, Spinelli et al. first reported placement of a modified Gianturco-Rösch stent within the colon for management of large bowel obstruction, and a large amount of data has accrued concerning SEMS use within the large bowel. The goal of this article is to define the clinical indications for insertion of SEMS for colonic obstruction, the types of stents used, the techniques of insertion, and the outcomes.

References

  • 1 Mauro M A, Koehler R E, Baron T H. Advances in gastrointestinal intervention: the treatment of gastroduodenal and colorectal obstructions with metallic stents.  Radiology. 2000;  215 659-669
  • 2 Harris G J, Senagore A J, Lavery I C, Fazio V W. The management of neoplastic colorectal obstruction with colonic endoluminal stenting devices.  Am J Surg. 2001;  181 499-506
  • 3 Repici A, Reggio D, de Angelis C. et al . Covered metal stents for management of inoperable malignant colorectal strictures.  Gastrointest Endosc. 2000;  52 735-740
  • 4 Baron T H, Dean P A, Yates M R 3rd. et al . Expandable metal stents for the treatment of colonic obstruction: techniques and outcomes.  Gastrointest Endosc. 1998;  47 277-286
  • 5 Spinelli P, Mancini A. Use of self-expanding metal stents for palliation of rectosigmoid cancer.  Gastrointest Endosc. 2001;  53 203-206
  • 6 Baron T H. Expandable metal stents for the treatment of cancerous obstruction of the gastrointestinal tract.  N Engl J Med. 2001;  344 1681-1687
  • 7 Adler D G, Young-Fadok T M, Smyrk T. et al . Preoperative chemoradiation therapy after placement of a self-expanding metal stent in a patient with an obstructing rectal cancer: Clinical and pathologic findings.  Gastrointest Endosc. 2002;  55 435-437
  • 8 Binkert C A, Ledermann H, Jost R, Saurenmann P. et al . Acute colonic obstruction: clinical aspects and cost-effectiveness of preoperative and palliative treatment with self-expanding metallic stents - a preliminary report.  Radiology. 1998;  206 199-204
  • 9 Rey J F, Romanczyk T, Greff M. Metal stents for palliation of rectal carcinoma: a preliminary report on 12 patients.  Endoscopy. 1995;  27 501-504
  • 10 Law W L, Chu K W, Ho J W. et al . Self-expanding metallic stent in the treatment of colonic obstruction caused by advanced malignancies.  Dis Colon Rectum. 2000;  43 1522-1527
  • 11 Carter J, Valmadre S, Dalrymple C. et al . Management of large bowel obstruction in advanced ovarian cancer with intraluminal stents.  Gynecol Oncol. 2002;  84 176-179

T. H. Baron, M.D.

Department of Medicine · Division of Gastroenterology and Hepatology · Mayo Medical Center

200 First Street SW · Eisenberg 8A · Rochester, MN 55905 · USA

Fax: + 1-507-266-3939

Email: baron.todd@mayo.edu