Initial clinical experience with colonic stent placement

Michael H. Wholey, Edward A. Levine, Hector Ferral, Wilfrido Castaneda-Zuniga

Research output: Contribution to journalArticle

68 Citations (Scopus)

Abstract

BACKGROUND: The purpose of this study is to review initial experience with a colonic stent as an alternative to colostomy in patients with colonic obstruction. METHODS: Ten patients diagnosed with acute co-Ionic obstructions from both benign and malignant causes underwent stent placement. Self- expandable metallic stents were deployed using fluoroscopic guidance. Patients were followed up clinically until removal of the stent or death. RESULTS: Nine of the 10 patients who underwent colonic stent placement achieved clinical decompression within 6 hours. Six patients underwent standard mechanical bowel preparation and elective resection of obstructing lesions. The other 4 patients received stent placement for palliative purposes. Complications included 4 cases of migration and 1 death. Migrated stents in the rectum were easily retrieved and replaced using fluoroscopic techniques. There were no perforations. CONCLUSION: Placement of self- expandable metallic stents for acute colonic obstructions may allow patients to undergo elective surgical resection avoiding possible colostomy.

Original languageEnglish (US)
Pages (from-to)194-197
Number of pages4
JournalAmerican Journal of Surgery
Volume175
Issue number3
DOIs
StatePublished - Mar 1998
Externally publishedYes

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Stents
Colostomy
Decompression
Rectum

ASJC Scopus subject areas

  • Surgery

Cite this

Wholey, M. H., Levine, E. A., Ferral, H., & Castaneda-Zuniga, W. (1998). Initial clinical experience with colonic stent placement. American Journal of Surgery, 175(3), 194-197. https://doi.org/10.1016/S0002-9610(97)00285-7

Initial clinical experience with colonic stent placement. / Wholey, Michael H.; Levine, Edward A.; Ferral, Hector; Castaneda-Zuniga, Wilfrido.

In: American Journal of Surgery, Vol. 175, No. 3, 03.1998, p. 194-197.

Research output: Contribution to journalArticle

Wholey, MH, Levine, EA, Ferral, H & Castaneda-Zuniga, W 1998, 'Initial clinical experience with colonic stent placement', American Journal of Surgery, vol. 175, no. 3, pp. 194-197. https://doi.org/10.1016/S0002-9610(97)00285-7
Wholey, Michael H. ; Levine, Edward A. ; Ferral, Hector ; Castaneda-Zuniga, Wilfrido. / Initial clinical experience with colonic stent placement. In: American Journal of Surgery. 1998 ; Vol. 175, No. 3. pp. 194-197.
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