Clin Endosc.  2012 Nov;45(4):448-450.

Insertion of Self Expandable Metal Stent for Malignant Stomal Obstruction in a Patient with Advanced Colon Cancer

Affiliations
  • 1Department of Gastroenterology, Ajou University School of Medicine, Suwon, Korea. shsj9128@ajou.ac.kr

Abstract

Self expandable metal stent can be used both as palliative treatment for malignant colorectal obstruction and as a bridge to surgery in patients with potentially resectable colorectal cancer. Here, we report a case of successful relief of malignant stomal obstruction using a metal stent. A 56-year-old man underwent loop ileostomy and was given palliative chemotherapy for ascending colon cancer with peritoneal carcinomatosis. Eight months after the surgery, he complained of abdominal pain and decreased fecal output. Computed tomography and endoscopy revealed malignant stomal obstruction. Due to his poor clinical condition, we inserted the stent at the stomal orifice, instead of additional surgery, and his obstructive symptoms were successfully relieved. Stent insertion is thought to be a good alternative treatment for malignant stomal obstruction, instead of surgery.

Keyword

Stents; Neoplasms; Stoma

MeSH Terms

Abdominal Pain
Carcinoma
Colon
Colon, Ascending
Colonic Neoplasms
Colorectal Neoplasms
Endoscopy
Humans
Ileostomy
Middle Aged
Palliative Care
Stents
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