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©The Author(s) 2004. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Mar 1, 2004; 10(5): 758-764
Published online Mar 1, 2004. doi: 10.3748/wjg.v10.i5.758
Published online Mar 1, 2004. doi: 10.3748/wjg.v10.i5.758
Definitive palliation for neoplastic colonic obstruction using enteral stents: Personal case-series with literature review
Giuseppe Piccinni, Anna Angrisano, Mario Testini, G. Martino Bonomo, Section of General Surgery, Vascular Surgery and Clinical Oncology, Department of Applications in Surgery of Innovative Technologies, University of Bari- School of Medicine - Bari, Italy
Author contributions: All authors contributed equally to the work.
Correspondence to: Giuseppe Piccinni M.D., Sezione di Chirurgia Generale, Vascolare ed Oncologia Clinica, Dipartimento per le Applicazioni in Chirurgia delle Tecnologie Innovative Università di Bari, Policlinico, Piazza G. Cesare 11, 70124, Bari, Italy. beppepiccinni@tin.it
Telephone: +39-080-5478856 Fax: +39-080-5478749
Received: October 27, 2003
Revised: December 17, 2003
Accepted: December 24, 2003
Published online: March 1, 2004
Revised: December 17, 2003
Accepted: December 24, 2003
Published online: March 1, 2004
Abstract
Acute colonic obstruction due to malignancies is an emergency that requires surgical treatment. Elderly patients or inoperable tumors require intestinal decompression that is a simple colostomy in almost all cases. This “manoeuvre” leads the patient to a percentage of mortality/morbidity and to a bad quality of life due to acceptance of stoma. The introduction of enteral metal stent inserted endoscopically has, in our opinion, provided a new way to obtaining the definitive palliation of inoperable colo-rectal cancer with a simple method. We reported our case-series and we analyzed the current literature and costs of treatments.
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