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

doi:10.5114/wiitm.2014.40390

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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

DOI: https://doi.org/10.5114/wiitm.2014.40390

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:

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

colorectal cancer, ileus, endoscopic stenting

Zbigniew K. Kamock

,

Konrad P. Zaręba

,

Roman Bandurski

,

Andrzej Baniukiewicz

,

Eugeniusz Wróblewski

,

Mariusz Gryko

,

Bogusław Kędra