Initial clinical experience with colonic stent placement

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

Research output: Contribution to journalArticlepeer-review

70 Scopus citations

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 1 1998

ASJC Scopus subject areas

  • Surgery

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