eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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1/2014
vol. 9
 
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abstract:
Original paper

Own experiences of endoscopic self-expandable stent placement for malignant colorectal ileus

Zbigniew K. Kamock
,
Konrad P. Zaręba
,
Roman Bandurski
,
Andrzej Baniukiewicz
,
Eugeniusz Wróblewski
,
Mariusz Gryko
,
Bogusław Kędra

Videosurgery Miniinv 2014; 9 (1): 59–63
Online publish date: 2014/01/30
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Introduction: Acute low neoplasm ileus requires emergency surgery. Nowadays there are increased numbers of patients with comorbidities, which causes higher risk of intra- and postoperative complications.

Aim: To evaluate the clinical usefulness of endoscopic self-expandable stent placement for malignant colorectal ileus.

Material and methods: Twenty-one patients (8 women and 13 men), mean age 66.7 years, with low neoplasm obstruction, underwent endoscopic stenting of the stricture. This procedure was performed as a bridge to the surgery especially for high-risk patients. Eight of them had coagulation system impairment, 5 severe metabolic disorders, 4 circulatory insufficiency, 3 severe malnutrition and 1 patient undiagnosed synchronic rectal tumor. In 10 patients cancer was located in the sigmoid colon, in 7 in the rectum, in 2 in the ascending colon, and the transverse and ascending colon was involved in another 2 patients.

Results: All 21 patients (100%) underwent endoscopic stenting successfully. There were no complications after stent placement. The authors underline that placement of expandable metallic stents for patients with malignant colon obstruction with acute ileus is a safe and effective method. It gives an opportunity for quick balance of fluid, electrolyte, and the coagulation system and improvement of efficiency of the circulatory and respiratory system.

Conclusions: Endoscopic treatment of ileus helps precisely estimate tumor advancement and gives the possibility of a single stage radical surgical procedure.
keywords:

colorectal cancer, ileus, endoscopic stenting

  
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