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Related Experiment Videos

Stent endoprosthesis for obstructing colorectal cancers

Y Saida1, Y Sumiyama, J Nagao

  • 1Third Department of Surgery, Toho University School of Medicine, Tokyo, Japan.

Diseases of the Colon and Rectum
|May 1, 1996
PubMed
Summary

Stent endoprosthesis for colorectal cancer (SECC) aids operative preparation for obstructing tumors. This method facilitates bowel preparation and may lower complication risks in patients undergoing surgery.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Medical Devices

Background:

  • Obstructing colorectal cancers pose significant surgical challenges.
  • Effective operative preparation is crucial for favorable patient outcomes.
  • Existing methods for managing obstructive colorectal cancer can be associated with high morbidity.

Purpose of the Study:

  • To evaluate the efficacy of stent endoprosthesis for colorectal cancer (SECC) as an adjunct to operative preparation.
  • To assess the safety and feasibility of SECC in patients with obstructing colorectal malignancies.
  • To determine if SECC can improve outcomes in the management of obstructive colorectal cancer.

Main Methods:

  • A self-expanding stainless steel stent was deployed in 15 patients with obstructing colorectal cancers.

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  • Procedures were guided by colonoscopy and fluoroscopic control.
  • Following stent placement, patients underwent mechanical bowel preparation with polyethylene glycol before definitive surgery.

    • Main Results:

    • Successful stent placement was achieved in 12 patients, enabling intestinal transit and tolerance of bowel preparation.
    • Satisfactory bowel preparation was confirmed intraoperatively.
    • Complications included two perforations and one stent dislocation.

    Conclusions:

    • SECC represents a novel approach for operative preparation in obstructing colorectal cancers.
    • This technique shows potential to reduce the morbidity and mortality associated with surgical management.
    • Further investigation is warranted to establish SECC as a standard treatment modality.