Trimming of a migrated metal stent for malignant colonic stricture using argon plasma coagulation

Rao, Kiran

doi:10.4253/wjge.v2.i2.75

Cited by 3 publications

(3 citation statements)

References 4 publications

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“…The most feared major complication is perforation. Chemotherapy increases the risk of it occurring (20). The most common major complication is stent obstruction due to tumor ingrowth, with a incidence of 10% (17).…”

Section: Discussionmentioning

confidence: 99%

Auspicious Management of a Acute Obstructive Left Colon Tumor in a 93-year-old Patient - Case Report and Literature Review

Andrei¹,

Constantinescu²,

Nedelcu³

et al. 2017

chr

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RezumatVã prezentãm cazul unui pacient în vârstã de 93 de ani cu ocluzie intestinalã datorate unei tumori de colon descendent, cu ascitã carcinomatoasã şi determinãri secundare hepatice şi pulmonare. Având în vedere riscurile asociate unui act chirurgical la un astfel de bolnav cât şi imposibilitatea efectuãrii unei intervenţii curative, a fost montat un stent colonic metalic auto-expandabil. Evoluţia post-intervenţie a fost favorabilã, pacientul fiind externat 48 de ore mai târziu. Cancerul de colon stâng se diagnosticheazã în fazã ocluzivã în 8 pânã la 26 % din cazuri (1). Acesta, necesitã de cele mai multe ori o rezolvare imediatã chirurgicalã datoritã potenţialului risc de deces. Procedurile chirurgicale efectuate în regim de urgenţã asociazã rate crescute de morbiditate şi mortalitate (2). Astfel au fost dezvoltate alte modalitãţi de rezolvare ale acestor urgenţe chirurgicale. Stenturile colonice au fost raportate prima datã în literaturã de cãtre Dohmoto (3). Iniţial, folosirea stenturilor a fost gandita ca şi metoda finala de paleaţie (4). Ulterior sau folosit ca punte catre chirurgia programata minim invaziva (5).Cuvinte cheie: tumora de colon descendent, ocluzie intestinalã, stent colonic metalic auto-expandabil AbstractWe present the case of a 93-year-old patient with intestinal occlusion due to a descending colon tumor, with carcinomatous ascites and secondary liver and lung determinations. Considering the risks associated with a surgical act in such a patient and the impossibility of performing a curative intervention, a self-expanding metallic colonic stent was mounted. The post-intervention evolution was favorable, the patient being discharged 48 hours later. Left colon cancer is diagnosed in the occlusive phase in 8 to 26% of cases (1). It often requires an immediate surgical resolution due to the potential risk of death. Emergency surgery involves increased rates of morbidity and mortality (2). Thus, other ways of resolving these surgical emergencies have been developed. Colonic stents were first reported in the literature by Dohmoto (3). Initially, the use of stents was as the final method of palletising (4). Later, they were used as a bridge to minimally invasive programmed surgery (5).

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Section: Discussionmentioning

confidence: 99%

Auspicious Management of a Acute Obstructive Left Colon Tumor in a 93-year-old Patient - Case Report and Literature Review

Andrei¹,

Constantinescu²,

Nedelcu³

et al. 2017

chr

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“…Endoscopic removal of a covered stent may be performed in cases in which stent migration to the anorectal area results in pain or irritation. In the case of uncovered stent migration, argon plasma coagulation combined with rat-tooth forceps has been used [35] . Avoidance of stent migration is frequently achieved by placing the stent in the center of the stricture (or slightly above) and ensuring that it projects 2 to 4 cm proximally and distally into normal colon [18] .…”

Section: Major Complicationsmentioning

confidence: 99%

“…Faragher et al [16] reported an increased complication rate of 34.8% in patients receiving bevacizumab following stenting as compared to a 22.8% in untreated patients. This association may have also contributed to the high perforation rate in the stented group that lead to the premature termination of the only randomized controlled trial that attempted to compare outcomes between surgical intervention and SEMS in stage IV colon cancer patients on chemotherapy [35] . Chemotherapeutic agents, in particular bevacizumab, have been linked to an increased risk of colonic perforation [35] .…”

Section: Perforationmentioning

confidence: 99%

Enteral stents for the management of malignant colorectal obstruction

Kaplan

Strongin

Adler

et al. 2014

WJG

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Colorectal cancer (CRC) is the 3rd most common cancer in the United States with more than 10000 new cases diagnosed annually. Approximately 20% of patients with CRC will have distant metastasis at time of diagnosis, making them poor candidates for primary surgical resection. Similarly, 8%-25% of patients with CRC will present with bowel obstruction and will require palliative therapy. Emergent surgical decompression has a high mortality and morbidity, and often leads to a colostomy which impairs the patient's quality of life. In the last decade, there has been an increasing use of colonic stents for palliative therapy to relieve malignant colonic obstruction. Colonic stents have been shown to be effective and safe to treat obstruction from CRC, and are now the therapy of choice in this scenario. In the setting of an acute bowel obstruction in patients with potentially resectable colon cancer, stents may be used to delay surgery and thus allow for decompression, adequate bowel preparation, and optimization of the patient's condition for curative surgical intervention. An overall complication rate (major and minor) of up to 25% has been associated with the procedure. Long term failure of stents may result from stent migration and tumor ingrowth. In the majority of cases, repeat stenting or surgical intervention can successfully overcome these adverse effects.

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Remodeling of Colonic Self‐Expandable Nitinol Stent Using Low Power Argon Plasma Coagulation: A Brief Report

Bargiggia,

Scalvini,

Cilona

et al. 2024

JGH Open

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Trimming of a migrated metal stent for malignant colonic stricture using argon plasma coagulation

Cited by 3 publications

References 4 publications

Auspicious Management of a Acute Obstructive Left Colon Tumor in a 93-year-old Patient - Case Report and Literature Review

Auspicious Management of a Acute Obstructive Left Colon Tumor in a 93-year-old Patient - Case Report and Literature Review

Enteral stents for the management of malignant colorectal obstruction

Remodeling of Colonic Self‐Expandable Nitinol Stent Using Low Power Argon Plasma Coagulation: A Brief Report

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