The management of neoplastic colorectal obstruction with colonic endolumenal stenting devices

• Published in: The American Journal of Surgery Vol. 181; no. 6; pp. 499 - 506
• Main Authors: Harris, Guy J.C, Senagore, Anthony J, Lavery, Ian C, Fazio, Victor W
• Format: Book Review Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.06.2001; Elsevier; Elsevier Limited
• Subjects: Anorectal; Biological and medical sciences; Blocking; Cancer; Colon; Colorectal cancer; Colorectal Neoplasms - complications; Colorectal Neoplasms - surgery; Complications; Diseases of the digestive system; Endoscopy; Endoscopy - methods; Humans; Implants; Intestinal obstruction; Intestinal Obstruction - etiology; Intestinal Obstruction - surgery; Lesions; Literature reviews; Medical sciences; Mortality; Neoplasms; Ostomy; Ovaries; Patient Selection; Patients; Postoperative Complications; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); Stents; Surgery; Titanium alloys; Treatment Outcome; Stents; Colorectal cancer; Endoscopy; Human; Rectal disease; Iatrogenic; Indication; Treatment efficiency; Instrumentation therapy; Instrumental dilatation; Malignant tumor; Stent; Colonic disease; Rectum; Digestive diseases; Intestinal disease; Complication; Colon; Bibliographic review
• ISSN: 0002-9610; 1879-1883
• DOI: 10.1016/S0002-9610(01)00622-5

Background: Colonic endolumenal stenting (CELS) to treat obstructing colorectal neoplasms was first described in 1991. The aim of this study was to review the published world literature and make recommendations for its use in current clinical practice. Methods: Suitable English language reports were identified using a Medline search. Results: CELS can been successfully accomplished in 64% to 100% of obstructing malignant colonic lesions. Distal lesions are more common and theoretically more easy to stent although lesions within the ascending colon have been successfully managed. Minor complications include transient anorectal pain and rectal bleeding, however, significant complications of stent dislocation and colonic perforation are also well recognized. Conclusion: CELS can aid the palliative management of malignant colorectal obstruction. Its role in relieving obstruction prior to resection remains to be defined. Increasing experience has allowed the safe placement of stents and relief of obstruction of virtually any lesion throughout the large bowel.