Goal: The aim of our prospective study was to analyze the results of endoscopic stenting to treat obstruction due to colorectal cancer and complications after colorectal resection for cancer. Background: Endoscopic stenting for obstructing colorectal cancer has become a common place in clinical practice. However, there is a 2% to 5% risk of bowel perforation, and a percentage of technical failure of 2% to 10%. Materials and Methods: In a 15-year period (August, 1999 to December, 2013), 153 patients with colorectal cancer had endoscopic placement of a self-expandable metal stent for treatment of an obstructing colorectal cancer (133 patients) or for treatment of complications after colorectal resection for cancer (20 patients). They were prospectively evaluated in a database and they form the basis of this report. Results: There was no case of mortality or major morbidity. Overall technical success was 94.8%. After introducing the use of a pediatric nasogastroscope to pass the obstruction (71 patients), technical success was 100%. Complications in patients in whom the stent was left in place during the follow-up were frequent, requiring a close observation. We had 20 patients with fecal obstruction, 4 cases of stent dislodgment, and 8 cases of obstruction from ingrowth of the tumor. All patients were treated successfully endoscopically. Conclusions: Placement of self-expandable metal stents represents a valid technique. A proper training is required.

Endoscopic stenting for colorectal cancer. Lessons learned from a 15-year experience / Fiori, Enrico; Lamazza, Antonietta; Sterpetti, Antonio V.; Schillaci, Alberto. - In: JOURNAL OF CLINICAL GASTROENTEROLOGY. - ISSN 0192-0790. - STAMPA. - 52:5(2018), pp. 418-422. [10.1097/MCG.0000000000000792]

Endoscopic stenting for colorectal cancer. Lessons learned from a 15-year experience

Fiori, Enrico;Lamazza, Antonietta;Sterpetti, Antonio V.
;
Schillaci, Alberto
2018

Abstract

Goal: The aim of our prospective study was to analyze the results of endoscopic stenting to treat obstruction due to colorectal cancer and complications after colorectal resection for cancer. Background: Endoscopic stenting for obstructing colorectal cancer has become a common place in clinical practice. However, there is a 2% to 5% risk of bowel perforation, and a percentage of technical failure of 2% to 10%. Materials and Methods: In a 15-year period (August, 1999 to December, 2013), 153 patients with colorectal cancer had endoscopic placement of a self-expandable metal stent for treatment of an obstructing colorectal cancer (133 patients) or for treatment of complications after colorectal resection for cancer (20 patients). They were prospectively evaluated in a database and they form the basis of this report. Results: There was no case of mortality or major morbidity. Overall technical success was 94.8%. After introducing the use of a pediatric nasogastroscope to pass the obstruction (71 patients), technical success was 100%. Complications in patients in whom the stent was left in place during the follow-up were frequent, requiring a close observation. We had 20 patients with fecal obstruction, 4 cases of stent dislodgment, and 8 cases of obstruction from ingrowth of the tumor. All patients were treated successfully endoscopically. Conclusions: Placement of self-expandable metal stents represents a valid technique. A proper training is required.
2018
surgery; endoscopy; Gastroenterology;
01 Pubblicazione su rivista::01a Articolo in rivista
Endoscopic stenting for colorectal cancer. Lessons learned from a 15-year experience / Fiori, Enrico; Lamazza, Antonietta; Sterpetti, Antonio V.; Schillaci, Alberto. - In: JOURNAL OF CLINICAL GASTROENTEROLOGY. - ISSN 0192-0790. - STAMPA. - 52:5(2018), pp. 418-422. [10.1097/MCG.0000000000000792]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1025430
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