Yonsei Med J.  2009 Apr;50(2):296-299.

Benefits of Recurrent Colonic Stent Insertion in a Patient with Advanced Gastric Cancer with Carcinomatosis Causing Colonic Obstruction

• Park S
• Shin SJ
• Ahn JB
• Jeung HC
• Rha SY
• Lee SK
• Chung HC

Abstract

Malignant obstruction develops frequently in advanced gastric cancer. Although it is primarily the gastric outlet that is obstructed, there are occasional reports of colonic obstruction. Treating intestinal obstruction usually requires emergency surgery or stent insertion. There are several kinds of complications with stent insertion, such as bowel perforation, stent migration, bleeding, abdominal pain and reobstruction. Nevertheless, endoscopic stent insertion could be a better treatment than emergency surgery in cases of malignant bowel obstruction in cancer patients with poor performance status. We report a case of advanced gastric cancer with carcinomatosis in which a recurrent colonic stent was inserted at the same site because of cancer growth into the stent. The patient maintained a good condition for chemotherapy, thus improving their chances for survival.

Keyword

Gastric cancer; carcinomatosis; colonic stent; benefit

MeSH Terms

Aged
Female
Humans
Intestinal Obstruction/etiology/radiography/*surgery
Neoplasm Recurrence, Local
Prosthesis Implantation/*methods
*Stents
Stomach Neoplasms

Figure

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  Fig. 1 Abdominal X-ray before 3rd colonic stent.

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  Fig. 2 Abdominal X-ray after 3rd colonic stent.

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  Fig. 3 Chemotherapy Schedule. *5-Flourouracil/Adriamycin, **5-Flourouracil/Oxaliplatin, †Disease Progression, ‡Stable Disease.

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