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[Colorectal stent: therapeutic alternative for acute obstruction?]
Aris D'Ambrogio1, Gian Dorta, Jean-Claude Givel
1Service de chirurgie viscérale, CHUV, 1011 Lausanne. Aris.Dambrogio@hospvd.ch
Revue Medicale Suisse
|July 21, 2005
Summary
Auto-expansive stents offer a safe alternative for treating colorectal obstructions, especially when surgery is risky. They effectively relieve blockages, aid diagnosis, and can provide palliative care for incurable tumors.
Area of Science:
- Gastroenterology
- Interventional Endoscopy
- Colorectal Surgery
Context:
- Colorectal obstruction necessitates urgent diagnosis and treatment.
- Poor patient condition can make surgical intervention hazardous.
- Auto-expansive stents serve as a viable therapeutic option for colorectal obstructions.
Purpose:
- To evaluate the efficacy and safety of auto-expansive stents in managing colorectal obstructions.
- To explore the role of stents in facilitating diagnosis and palliative care for malignant colorectal obstructions.
- To assess the success rate and complications associated with auto-expansive stent placement.
Summary:
- Auto-expansive stents are effective in resolving benign and malignant colorectal obstructions, with an approximately 85% success rate in re-establishing perfusion.
- In malignant cases, stents decompress the obstruction, enabling precise diagnosis before surgery or serving as palliative treatment for unresectable tumors.
- The primary complication is perforation, necessitating urgent surgery, while stent migration and obstruction are less common.
Impact:
- Provides a less invasive therapeutic alternative for patients with colorectal obstruction, particularly those with poor surgical candidacy.
- Improves diagnostic capabilities and palliative care options for malignant colorectal obstructions.
- Offers a high success rate for restoring bowel patency, potentially reducing the need for emergency surgery.