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Self-expanding stainless steel stent application in rectosigmoid stricture
M Itabashi1, K Hamano, S Kameoka
1Department of Surgery II, Tokyo Women's Medical College Hospital, Japan.
Diseases of the Colon and Rectum
|May 1, 1993
Summary
Gianturco stents effectively treated rectosigmoid strictures in two patients with recurrent neoplasm, enabling bowel function and avoiding colostomy. This innovative approach offers a new option for managing these challenging cases.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Medical Devices
Background:
- Rectosigmoid strictures often result from nonresectable recurrent neoplasms.
- Current management may involve palliative procedures like loop colostomy.
- The use of self-expanding stents in this specific indication has not been previously reported.
Purpose of the Study:
- To evaluate the efficacy of Gianturco stents for dilating rectosigmoid strictures.
- To assess the feasibility of this minimally invasive approach in patients with recurrent malignancy.
- To determine if stent placement can maintain bowel activity and prevent the need for colostomy.
Main Methods:
- Self-expanding stainless steel stents (Gianturco stents) were utilized.
- The procedure involved stent insertion and dilation within the rectosigmoid region.
- The study included two patients diagnosed with nonresectable recurrent neoplasm causing strictures.
Main Results:
- Successful stent insertion and dilation were achieved in both patients.
- Both patients maintained normal bowel activity post-procedure.
- The need for a palliative loop colostomy was successfully avoided in these cases.
Conclusions:
- Self-expanding stainless steel stents are an effective treatment for rectosigmoid strictures caused by nonresectable recurrent neoplasm.
- This technique offers a viable alternative to palliative colostomy, improving patient quality of life.
- Further investigation into this application of Gianturco stents is warranted.