Letters To The Editor
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World J Gastroenterol. Jul 21, 2014; 20(27): 9215-9216
Published online Jul 21, 2014. doi: 10.3748/wjg.v20.i27.9215
Analysis of risk factors associated with complications of colonic stenting for malignant obstruction
Gokhan Dindar, Yucel Ustundag, Tarkan Karakan
Gokhan Dindar, Yucel Ustundag, Department of Gastroenterology, Bulent Ecevit University School of Medicine, 67100 Zonguldak, Turkey
Tarkan Karakan, Department of Gastroenterology, Gazi University School of Medicine, 0600 Ankara, Turkey
Author contributions: Dindar G wrote the paper; Ustundag Y performed research; Karakan T performed research.
Correspondence to: Gokhan Dindar, MD, Department of Gastroenterology, Bulent Ecevit University School of Medicine, İncivez Mh., 67100 Zonguldak, Turkey. mirsadkaan@mynet.com
Telephone: +90-3722-612226 Fax: +90-3726-660090
Received: November 12, 2013
Revised: December 19, 2013
Accepted: February 20, 2014
Published online: July 21, 2014
Processing time: 251 Days and 1.9 Hours
Abstract

Self expanding metalic stent (SEMS) application can cause serious problems up to one third of the patients and some studies reported negative effect of SEMSs on survival in patients with malignancy. The SEMS type especially the rigid one like Wall-stent rather than more flexible type Ultraflex was also reported to have bad impact on the risk of perforation we believe that stent based management protocol for patients with non-perforating left sided obstructing colorectal cancer is a complex method that needs qualified medical and technical team.

Keywords: Self expanding metalic stent; Colon tumor; Colonic obstruction; Complications; Perforation

Core tip: Self expanding metalic stent (SEMS) application can cause serious problems up to one third of the patients and some studies reported negative effect of SEMSs on survival in patients with malignancy. We believe that stent based management protocol for patients with non-perforating left sided obstructing colorectal cancer is a complex method that needs qualified medical and technical team.