Esperienza preliminare nell’applicazione degli stent metallici autoespandibili per il trattamento delle stenosi maligne colo-rettali

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COD: 127-130 Categorie: ,

Francesco Cantarella, Walter Bugiantella, Elvira Mingrone, Luigina Graziosi, Patrizia Ricci, Paolo Rossi, Annibale Donini

Ann. Ital. Chir., 2009; 80: 127-130

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OBJECTIVE: Application of SEMS in treating colorectal obstruction caused by both intrinsic and extrinsic tumours.
METHODS: From December 2007 to February 2008 two patient underwent colorectal stenting. The first patient was
affected by sigma neoplasia with multiple lung and liver metastases; the second one had a distal colonic obstruction
caused by pelvic relapse of endometrial adenocarcinoma.
RESULTS: In both patients successful decompression ,defined as complete relief of bowel obstruction as judged by clinical
symptoms and radiographic observation, was achieved. The first patient died 1 month later for disease progression after
the I cycle with Capecitabine. The second patient is undergoing the II cycle with Adriamicina and Cisplatino.
DISCUSSION: In our experience no precocious or posthumous complications were observed and we evaluated that SEMSs
are useful in both intrinsic and extrinsic colorectal malignancies.
CONCLUSIONS: SEMSs allow a rapid decompression, reduce the number of emergency surgical procedures- and also the
need for stomas- in poor general condition patients, achieving a better quality of life for patient with a short estimated
life and a one-stage elective surgery for patient with resectable disease.

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